Research findings and strategies for assessing telemedicine costs.

@article{Reardon2005ResearchFA,
  title={Research findings and strategies for assessing telemedicine costs.},
  author={Timothy G. Reardon},
  journal={Telemedicine journal and e-health : the official journal of the American Telemedicine Association},
  year={2005},
  volume={11 3},
  pages={
          348-69
        }
}
  • T. Reardon
  • Published 21 July 2005
  • Medicine, Political Science
  • Telemedicine journal and e-health : the official journal of the American Telemedicine Association
With varying degrees of enthusiasm, researchers and decision-makers support the use of telemedicine. Forms of telemedicine are appearing in health-care delivery, and are often integral to transforming health-care information technology. Despite this, the appropriate role of telemedicine in the delivery process remains ambiguous, at least partly because of its uncertain impact on costs. Cost savings and benefits are often suggested by the logic of its impact on health care and by the promise of… 

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References

SHOWING 1-10 OF 55 REFERENCES
Systematic review of evidence for the benefits of telemedicine
TLDR
Although useful clinical and economic outcomes data have been obtained for some telemedicine applications, good-quality studies are still scarce and the generalizability of most assessment findings isratherlimited.
A review of telemedicine cost-effectiveness studies
TLDR
Ten recommendations regarding the design of economic evaluations of telemedicine are suggested and some important weaknesses in the published literature relating to cost-effectiveness studies in telemedics are identified.
What do we really know about the cost-effectiveness of telemedicine?
TLDR
Up to now, telemedicine in general has not had any significant effect on medical practice, or the structure and organization of health-care, and its integration with traditional health- care is very important.
A cost-effectiveness analysis of shipboard telemedicine.
TLDR
The demand for telemedicine and the cost-effectiveness of various technologies (telephone and fax, e-mail and Internet, video teleconferencing (VTC), teleradiology, and diagnostic instruments), as well as their bandwidth requirements, were determined.
Cost-minimization analysis: A follow-up study of a telemedicine program.
  • M. Mccue, P. Mazmanian, K. J. Fisk
  • Medicine, Political Science
    Telemedicine journal : the official journal of the American Telemedicine Association
  • 1998
TLDR
A cost-benefit analysis of telemedicine subspecialty services provided between the Powhatan Correctional Center of the Virginia Department of Corrections and the Medical College of Virginia Campus of Virginia Commonwealth University found a net saving of $14 per visit.
Systematic review of cost effectiveness studies of telemedicine interventions
TLDR
There is no good evidence that telemedicine is a cost effective means of delivering health care, and the majority of articles reviewed here provided no details of sensitivity analysis, a method all economic analyses should incorporate.
Telemedicine for the Medicare population: pediatric, obstetric, and clinician-indirect home interventions.
TLDR
This report summarizes scientific evidence on the diagnostic accuracy, access, clinical outcomes, satisfaction, and cost-effectiveness of services provided by telemedicine technologies for these patient groups and identifies gaps in the evidence and makes recommendations for evaluating telemedICine services for these populations in the future.
Assessing telemedicine: a systematic review of the literature.
TLDR
Relatively convincing evidence of effectiveness was found only for teleradiology, teleneurosurgery, telepsychiatry, transmission of echocardiographic images, and the use of electronic referrals enabling e-mail consultations and video conferencing between primary and secondary health care providers.
PRE-ASSESSMENT TO ASSESS THE MATCH BETWEEN COST-EFFECTIVENESS RESULTS AND DECISION MAKERS' INFORMATION NEEDS
TLDR
This study revealed that the use of CEA results for Dutch micro- and meso-level healthcare decision making is not self-evident, and pre-assessment can be a valuable tool in designing a CEA to support the actual information needs of the decision makers.
Simulation methodology for estimating financial effects of telemedicine in West Virginia.
TLDR
The proposed methodology utilizes simulation modeling techniques for evaluating the financial performance of a mature telemedicine system and is particularly suitable for analyzing large, complex systems that have not yet achieved steady-state operation.
...
...