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Home telehealth for chronic disease management: A systematic review and an analysis of economic evaluations

Published online by Cambridge University Press:  21 July 2009

Julie Polisena ,
Doug Coyle ,
Kathryn Coyle  and
Sarah McGill
Julie Polisena
Affiliation:
Canadian Agency for Drugs and Technologies in Health (CADTH)
Doug Coyle
Affiliation:
University of Ottawa
Kathryn Coyle
Affiliation:
Coyle Consultancy
Sarah McGill
Affiliation:
Canadian Agency for Drugs and Technologies in Health (CADTH)
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Abstract

Objectives: The research objectives were two-fold: first, to systematically review the literature on the cost-effectiveness of home telehealth for chronic diseases, and second to develop a framework for the conduct of economic evaluation of home telehealth projects for patients with chronic diseases.

Methods: A comprehensive literature search identified twenty-two studies (n = 4,871 patients) on home telehealth for chronic diseases published between 1998 and 2008. Studies were reviewed in terms of their methodological quality and their conclusions.

Results: Home telehealth was found to be cost saving from the healthcare system and insurance provider perspectives in all but two studies, but the quality of the studies was generally low. An evaluative framework was developed which provides a basis to improve the quality of future studies to facilitate improved healthcare decision making, and an application of the framework is illustrated using data from an existing program evaluation of a home telehealth program.

Conclusions: Current evidence suggests that home telehealth has the potential to reduce costs, but its impact from a societal perspective remains uncertain until higher quality studies become available.

Keywords

TelehealthChronic diseaseEconomic evaluationCost-effectivenessSystematic reviewFramework
Type
General Essays
Information
International Journal of Technology Assessment in Health Care , Volume 25 , Issue 3 , July 2009 , pp. 339 - 349
Copyright
Copyright © Cambridge University Press 2009

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