Systematic review of studies of the cost-effectiveness of telemedicine and telecare. Changes in the economic evidence over twenty years
Abstract
A systematic review of studies of the cost-effectiveness of telemedicine and telecare was undertaken from 1990 until September 2010. Twelve databases were searched, using economic evaluation terms combined with telemedicine terms. The search identified 80 studies which were classed as full economic evaluations; the majority (38) were cost-consequence analyses. There were 15 cost-effectiveness analyses (CEA) and seven cost-utility analyses (CUA). In the period January 2004 to September 2010 there were 47 studies. Eleven were CEA and seven were CUA. Economic tools are being increasingly used for telemedicine and telecare studies, although better reporting of the methodologies and findings of the economic evaluations is required. Nonetheless, the results of the review were consistent with previous findings, i.e. there is no further conclusive evidence that telemedicine and telecare interventions are cost-effective compared to conventional health care.
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Evidence about cost-effectiveness of HT remains limited, and there are no reliable data on the long-term benefits and economic implications of HT interventions.
“Evidence about cost-effectiveness remains limited, and there are no reliable data on the long-term benefits and economic implications of HT interventions [51].”
From Effects of Home Telemonitoring Interventions on Patients With Chronic Heart Failure: An Overview of Systematic Reviews (2015) · cites this paper as [51]
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Benedetto, V., Filipe, L., Harris, C., Spencer, J., Hickson, C., & Clegg, A. J. (2022) · Medical Decision Making · doi:10.1177/0272989x221132741 · Cited by 28 · see citing works
Enhancing the provision of health and social care in Europe through eH ealth
Raeve, P. D., Gomez, S., Hughes, P., Lyngholm, T., Sipilä, M., Kilańska, D. M., Hussey, P., Xyrichis, A., & the ENS4Care project (2016) · International Nursing Review · doi:10.1111/inr.12266 · Cited by 27 · see citing works
Support following total laryngectomy: Exploring the concept from different perspectives
Bickford, J., Coveney, J., Baker, J., & Hersh, D. (2018) · European Journal of Cancer Care · doi:10.1111/ecc.12848 · Cited by 27 · see citing works
A Telehealth and Telepsychiatry Economic Cost Analysis Framework: Scoping Review
Hilty, D. M., Serhal, E., & Crawford, A. S. (2022) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2022.0016 · Cited by 27 · see citing works
The Role of Telemedicine in Providing Thoracic Oncology Care to Remote Areas of British Columbia
Humer, M. F., & Campling, B. G. (2017) · Current Oncology Reports · doi:10.1007/s11912-017-0612-7 · Cited by 27 · see citing works
Sánchez, F. J., Ruiz, F. Ó., Parra, C. L., Gómez‐Suárez, C., Bonachela, P., Leal, S., Pérez, P., Jordán, A., & Barrot, E. (2014) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x14544421 · Cited by 25 · see citing works
Cost Effectiveness of Childhood Cochlear Implantation and Deaf Education in Nicaragua
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Gujral, K., Scott, J. Y., Ambady, L., Dismuke‐Greer, C. E., Jacobs, J., Chow, A., Oh, A., & Yoon, J. (2021) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2021.0284 · Cited by 24 · see citing works
The Financial Impact of a Pediatric Telemedicine Program: A Children's Hospital's Perspective
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Telemonitoring in chronic ventilatory failure: a new model of survellaince, a pilot study
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Integrated Personal Health and Care Services deployment: Experiences in eight European countries
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The Role of Optometry in the Delivery of Eye Care via Telehealth: A Systematic Literature Review
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Using telehealth for heart failure: Barriers, pitfalls and nursing service models
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Financial and Temporal Advantages of Virtual Consultation in Veterans Requiring Specialty Care
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Sharif, F., Rahman, A., Tonner, E., Ahmed, H., Haq, I., Abbass, R., Asinger, S., & Sbai, M. (2020) · Perioperative Medicine · doi:10.1186/s13741-020-00166-0 · Cited by 19 · see citing works
- Authors
- Mistry, H.
- Affiliations
- University of Birmingham (GB)
- Corresponding author
- Mistry, Hema
- ORCID
- Mistry, Hema
- Venue
- Journal of Telemedicine and Telecare
- Publisher
- SAGE Publications
- Published
- 2011-11-18
- Volume
- 18
- Issue
- 1
- Pages
- 1-6
- ISSN
- 1357-633X (ISSN-L)
- 1758-1109
- OpenAlex
- W2071077750
- Cited by
- 215
- References
- 20
- Citations by year
- 2026: 7 · 2025: 1 · 2024: 9 · 2023: 6 · 2022: 17 · 2021: 13 · 2020: 11 · 2019: 9 · 2018: 16 · 2017: 26 · 2016: 19 · 2015: 25 · 2014: 28 · 2013: 19 · 2012: 9
- FWCI
- 2.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Telemedicine and Telecare (publishedVersion)
- PubMed (publishedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Social Sciences › Demography › Technology Use by Older Adults
- Keywords
- telemedicine, telecare, cost-effectiveness, economic evaluation, cost-consequence analysis, cost-utility analysis, cost-effectiveness analysis, reporting quality, health technology assessment
- MeSH terms
- Cost-Benefit Analysis, Health Services Accessibility, Health Services Research, Humans, Time Factors, Health Care Costs, Patient Satisfaction, Telemedicine
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