The impact of adherence on costs and effectiveness of telemedical patient management in heart failure: A systematic review
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Summary: Objective: This paper analyzes evidence of the impact of patients’ adherence to pharmacological and non-pharmacological recommendations on the treatment costs of heart failure (HF) patients. Methods: A systematic review was performed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Papers were searched using various combinations of the following keywords: ‘telemedicine’, ‘telemonitoring’, ‘telehealth’, ‘eHealth’, ‘remote monitoring’, ‘adherence’, ‘compliance’, ‘cost-effectiveness’, ‘cost-benefit’, ‘heart failure’, ‘healthcare costs’, ‘hospitalization’, and ‘drug costs’. We included only papers written in English or German, published between 1998 and 2014, and having one of our search terms in the title. Results: Initially, 73 papers were selected. After a detailed review, these were narrowed done to 9 that reported an association between adherence and/or compliance and costs. However, none established a quantitative relationship between adherence and total healthcare costs. Conclusion: A model-based cost-effectiveness analysis that appropriately considers adherence has not been carried out so far, but is needed to fully understand the potential economic benefits of telehealth. Citation: Hameed AS, Sauermann S, Schreier G. The impact of adherence on costs and effectiveness of telemedical patient management in heart failure: A systematic review. Appl Clin Inf 2014; 5: 612–620 http://dx.doi.org/10.4338/ACI-2014-04-RA-0037
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One review found no evidence that increased patient adherence supported by remote monitoring and telephone calls led to a reduction in treatment costs for heart failure patients.
“Finally, the fourth review found no evidence that increased patient adherence supported by remote monitoring and telephone calls led to a reduction in treatment costs for heart failure patients [76].”
From Telemedicine in the OECD: An umbrella review of clinical and cost-effectiveness, patient experience and implementation (2020) · cites this paper as [76]
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- Authors
- Sauermann, S., Schreier, G., & Hameed, A. S.
- Affiliations
- University of Applied Sciences Technikum Wien (AT)
- AIT Austrian Institute of Technology GmbH (AT)
- Corresponding author
- Hameed, A. S.
- Venue
- Applied Clinical Informatics
- Publisher
- Georg Thieme Verlag KG
- Published
- 2014
- Volume
- 05
- Issue
- 03
- Pages
- 612-620
- ISSN
- 1869-0327 (ISSN-L)
- PMC
- PMC4187079
- OpenAlex
- W2147523916
- Semantic Scholar
- 180bae622e38af8123c357feec6e1f41a8d1b67a
- Cited by
- 28
- References
- 14
- Citations by year
- 2025: 1 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 5 · 2019: 2 · 2018: 4 · 2017: 3 · 2016: 3 · 2015: 2
- FWCI
- 2.65
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Applied Clinical Informatics (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Keywords
- heart failure, medication adherence, remote patient monitoring, telemedicine, health care costs, cost-effectiveness, hospitalization, drug costs
- MeSH terms
- Cardiology, Heart Failure, Humans, Prevalence, Health Care Costs, Telemedicine, Practice Guidelines as Topic, Guideline Adherence
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