A systematic review of the key indicators for assessing telehomecare cost-effectiveness.

Telehomecare is considered one of the most successful applications of telehealth. However, despite increasing evidence of telehomecare benefits, the diffusion of these services is still limited. Decision-makers need strong evidence in order to expand the development of telehomecare to various populations, regions, and health conditions. The objective of this review is to provide a basis for decision-making by identifying common indicators from the literature on telehomecare. A comprehensive review of the literature on the cost-effectiveness of telehomecare was conducted in specialized bibliographic databases. A total of 23 studies met the inclusion criteria. First, selected studies were analyzed to identify and classify the indicators that better addressed the cost-effectiveness impacts of telehomecare projects. Then, a synthesis of the evidence was done by exploring the relative cost-effectiveness of telehomecare applications. The analyses show that there is fair evidence of cost-effectiveness for many telehomecare applications. However, the heterogeneity among cost-effectiveness indicators in the applications reviewed and the methodological limitations of the studies impede the possibility of generalizing the findings.

• Autores: Vergara Rojas, Stephanie; Pierre Gagnon, Marie
• Tipo de recurso: Revisión
• Fecha de publicación: 2008
• Institución: Universidad ICESI
• Repositorio: Repositorio ICESI
• Idioma: eng
• OAI Identifier: oai:repository.icesi.edu.co:10906/78325
• Acceso en línea: http://www.scopus.com/inward/record.url?eid=2-s2.0-57049168750&partnerID=tZOtx3y1; http://hdl.handle.net/10906/78325; http://dx.doi.org/10.1089/tmj.2008.0009
• Palabra clave: Economía; Econometría; Revisión sistemática; Telesalud; Economics; Econometrics models; Indicadores
• Rights: openAccess
• License: http://purl.org/coar/access_right/c_abf2