A framework for the economic evaluation of telemedicine

McIntosh, Emma; Cairns, John

doi:10.1258/1357633971931039

Cited by 73 publications

(89 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Furthermore, the evaluation is also dependent on the estimation method used, the characteristics of the technology under assessment, the particularities of the data sources, applicability of the system, applications, and organization and social values where and when the evaluations take place (Mcintosh and Cairns, 1997;Ohinmaa, Hailey and Roine, 1999). This can play an important role in determining the unanticipated consequences of adopting the technology at organizational or national levels.…”

Section: Discussionmentioning

confidence: 99%

Interplay of cost and adoption of tele-medicine in Sub-Saharan Africa: The case of tele-cardiology in Ethiopia

2006

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Interplay of cost and adoption of tele-medicine in Sub-Saharan Africa: The case of tele-cardiology in Ethiopia

2006

View full text Add to dashboard Cite

“…This matrix presents the factors that should ideally encompass the economic evaluation. The matrix completes the first analysis of Bashshur [27], McIntosh [28], and Lobley [29]. For the sake of simplicity of use and evaluation feasibility, the proposed framework focusses on economic calculation starting from the information collected on costs rather than on a matrix of indicators.…”

Section: Economic Evaluation Framework Of Telemedicine Networkmentioning

confidence: 99%

The added value of thorough economic evaluation of telemedicine networks

Goff-Pronost

Sicotte

2009

Eur J Health Econ

View full text Add to dashboard Cite

This paper proposes a thorough framework for the economic evaluation of telemedicine networks. A standard cost analysis methodology was used as the initial base, similar to the evaluation method currently being applied to telemedicine, and to which we suggest adding subsequent stages that enhance the scope and sophistication of the analytical methodology. We completed the methodology with a longitudinal and stakeholder analysis, followed by the calculation of a break-even threshold, a calculation of the economic outcome based on net present value (NPV), an estimate of the social gain through external effects, and an assessment of the probability of social benefits. In order to illustrate the advantages, constraints and limitations of the proposed framework, we tested it in a paediatric cardiology tele-expertise network. The results demonstrate that the project threshold was not reached after the 4 years of the study. Also, the calculation of the project's NPV remained negative. However, the additional analytical steps of the proposed framework allowed us to highlight alternatives that can make this service economically viable. These included: use over an extended period of time, extending the network to other telemedicine specialties, or including it in the services offered by other community hospitals. In sum, the results presented here demonstrate the usefulness of an economic evaluation framework as a way of offering decision makers the tools they need to make comprehensive evaluations of telemedicine networks.

show abstract

“…A similar analytic framework, which places more emphasis on monetary factors, is the cost-consequence matrix proposed by McIntosh and Cairns. 4 Preliminary studies can generate hypotheses and fruitful areas for further study.…”

Section: Basic Level Economic Evaluationmentioning

confidence: 99%

“…Decision makers at various levels in health care need more definitive information on the costs and benefits of telemedicine before it can become more widely accepted. [2][3][4][5][6][7][8] Further, economic appraisal of telemedicine must consider the perspectives of the different stakeholders-patients, health professionals, and payers/insurers 9 -as well as the evolution of telemedicine technology and health care systems over time. In this paper we consider the changing requirements for economic evaluation of telemedicine applications, along with the experience in Alberta, Canada.…”

Section: Introductionmentioning

confidence: 99%

The Need for Economic Evaluation of Telemedicine to Evolve: The Experience in Alberta, Canada

Hailey

Jennett²

2004

Telemedicine Journal and e-Health

View full text Add to dashboard Cite

Economic evaluation of telemedicine applications is required to provide decision makers in health care with appropriate information on costs and benefits of this information and communications technology. The level of economic evaluation should evolve as telemedicine applications mature. At the basic level, economic evaluation may include basic cost analysis and primarily observational data on nonmonetary benefits. The focus will change as telemedicine programs develop. At this intermediate level, practice patterns and workforce issues are addressed as they affect utilization and costs of telemedicine services. Longer-term economic evaluation, thus far not achieved in telemedicine assessment, should focus on assessment of health outcomes and economic impact. Alberta, Canada has made progress assessing telemedicine applications in psychiatry, radiology, rheumatology, and rehabilitation. Data availability and analytic resources continue to present challenges to economic assessment of telemedicine.

show abstract

A framework for the economic evaluation of telemedicine

Cited by 73 publications

References 4 publications

Interplay of cost and adoption of tele-medicine in Sub-Saharan Africa: The case of tele-cardiology in Ethiopia

Interplay of cost and adoption of tele-medicine in Sub-Saharan Africa: The case of tele-cardiology in Ethiopia

The added value of thorough economic evaluation of telemedicine networks

The Need for Economic Evaluation of Telemedicine to Evolve: The Experience in Alberta, Canada

Contact Info

Product

Resources

About