Economic evaluation strategies in telehealth: Obtaining a more holistic valuation of telehealth interventions

  title={Economic evaluation strategies in telehealth: Obtaining a more holistic valuation of telehealth interventions},
  author={Centaine L. Snoswell and Anthony C. Smith and Paul A. Scuffham and Jennifer A. Whitty},
  journal={Journal of Telemedicine and Telecare},
  pages={792 - 796}
Telehealth is an emerging area of medical research. Its translation from conception, to research and into practice requires tailored research and economic evaluation methods. Due to their nature telehealth interventions exhibit a number of extra-clinical benefits that are relevant when valuing their costs and outcomes. By incorporating methods to measure societal values such as patient preference and willingness-to-pay, a more holistic value can be placed on the extra-clinical outcomes… 

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This study aims to investigate if telehealth reduces health system costs compared with traditional service models and to identify the scenarios in which cost savings can be realized and the areas of potential savings from telehealth.

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The breakeven point for implementing telehealth

It is demonstrated that telehealth is cost saving for the health system in a proportion of services, and the breakeven point is the point after which the initial investment is recouped and the cost savings have become tangible.

Dietitians Australia position statement on telehealth

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Health economic evaluation of digital nursing technologies: a review of methodological recommendations

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This work sought to identify measures which are used in randomised controlled trials and argued that ‘value of information’ (VoI) is such a metric – it is calculated as the difference between the ‘expected utility’ of alternative options.

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Investing in a telemedicine intervention project of pre-participation screening to athletes is socially desirable and financial sustainability can be improved by controlling-monitoring specific variable costs.

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It should be emphasized that the use of telehealth as a form of health promotion contributes to the prevention of health problems in a fast, satisfactory way and without the displacement of the patient and his family.



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  • T. Bergmo
  • Medicine, Political Science
    BMC Health Services Research
  • 2014
The use of QALYs in tele health evaluations has increased over the last few years, but a more harmonised methodology and utility measure is needed to ensure comparability across telehealth evaluations.

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A preference amongst respondents for face-to-face pre-telehealth health assessments and a comprehensive telehealth model targeted at those with some technological know-how as a substitute for attendance at hospitals and clinics, especially where these health facilities were far away from older people’s homes are indicated.

A Budget Impact Analysis of Telemedicine-based Collaborative Care for Depression

Results suggest that telemedicine-based collaborative care does not increase total workload for primary care ormental health providers, and there is no disincentive for mental health providers to offer telemedICine- based collaborative care or forPrimary care providers to refer patients to telemedicside collaborative care.

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  • V. WadeJ. SoarL. Gray
  • Medicine, Political Science
    Australian health review : a publication of the Australian Hospital Association
  • 2014
Medicine rebates and incentives, which are generous by world standards, have resulted in specialist video consultations being provided to underserved areas, although gaps still remain that need new models of care to be developed.

Estimating travel reduction associated with the use of telemedicine by patients and healthcare professionals: proposal for quantitative synthesis in a systematic review

A systematic review of literature is proposed to consider all credible evidence on avoided travel through telemedicine by fitting a linear model which takes into account the relevant factors in the circumstances of the studies performed, and the use of stepwise multiple regression to identify which factors are significant.

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This article reviews the literature on the effects and medical effectiveness of telemedicine and concludes with several recommendations for research, followed by a discussion of several specific questions, the answers to which might have a bearing on policy development.

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A cost—consequence approach to estimating the value for money of a new treatment for a specific disease is described and will enable decision—makers to select the components most relevant to their perspective and will also give them confidence that the data are credible to use as the basis for resource allocation decisions.