Cost-Utility and Cost-Effectiveness Studies of Telemedicine, Electronic, and Mobile Health Systems in the Literature: A Systematic Review

Díez, Isabel de la Torre; López-Coronado, Miguel; Vaca, César Gutiérrez; Aguado, Jesús Saez; Castro, Carlos de

doi:10.1089/tmj.2014.0053

Cited by 383 publications

(276 citation statements)

References 33 publications

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“…Cost-effectiveness was influenced by the compliance rate, age of onset of diabetes and glycaemic control 3738 and inconclusive evidence for telemedicine in all fields due to small sample sizes, limited number of randomised trials and the poor quality of available studies 39. Similar to main findings from our review, a recent review of telemedicine for DR showed teleophthalmology screening to be most cost-effective when patient volume is high when compared with conventional examination regardless of the setting 40…”

Section: Discussionsupporting

confidence: 71%

Review of economic evaluations of teleophthalmology as a screening strategy for chronic eye disease in adults

et al. 2018

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Section: Discussionsupporting

confidence: 71%

Review of economic evaluations of teleophthalmology as a screening strategy for chronic eye disease in adults

et al. 2018

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“…This is in line with the necessity expressed by a number of participants to meticulously conceive the solutions/applications envisaged and come up with solid proof of cost-effectiveness [7]. There is indeed a paucity of cost-utility and cost-effectiveness studies available within the field of mHealth [19]. …”

Section: Discussionmentioning

confidence: 52%

“…Their availability and affordability depend most often on governmental investment or regulation. The need for a technical foundation is well acknowledged in a number of African countries’ National eHealth Strategies [15–18]*** and eHealth strategies [19]. The importance of this foundation is not trivial, since they are fundamental to working in the mobile digital environment.…”

Section: Discussionmentioning

confidence: 99%

A roadmap for the implementation of mHealth innovations for image-based diagnostic support in clinical and public-health settings: a focus on front-line health workers and health-system organizations

Wallis

Hasselberg

Barkman

et al. 2017

Global Health Action

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Background: Diagnostic support for clinicians is a domain of application of mHealth technologies with a slow uptake despite promising opportunities, such as image-based clinical support. The absence of a roadmap for the adoption and implementation of these types of applications is a further obstacle. Objectives: This article provides the groundwork for a roadmap to implement image-based support for clinicians, focusing on how to overcome potential barriers affecting front-line users, the health-care organization and the technical system. Methods: A consensual approach was used during a two-day roundtable meeting gathering a convenience sample of stakeholders (n = 50) from clinical, research, policymaking and business fields and from different countries. A series of sessions was held including small group discussions followed by reports to the plenary. Session moderators synthesized the reports in a number of theme-specific strategies that were presented to the participants again at the end of the meeting for them to determine their individual priority. Results: There were four to seven strategies derived from the thematic sessions. Once reviewed and prioritized by the participants some received greater priorities than others. As an example, of the seven strategies related to the front-line users, three received greater priority: the need for any system to significantly add value to the users; the usability of mHealth apps; and the goodness-of-fit into the work flow. Further, three aspects cut across the themes: ease of integration of the mHealth applications; solid ICT infrastructure and support network; and interoperability. Conclusions: Research and development in image-based diagnostic pave the way to making health care more accessible and more equitable. The successful implementation of those solutions will necessitate a seamless introduction into routines, adequate technical support and significant added value.

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“…Moreover, this number of apps is increasing day by day. The rapid growth in mHealth apps has outpaced the science needed to validate the utility of health-related applications [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Utility of a mHealth App for Self-Management and Education of Cardiac Diseases in Spanish Urban and Rural Areas

et al. 2016

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Analyze the utility of a mobile health app named HeartKeeper in several groups of population and obtain conclusions to be applied to other similar apps. A questionnaire has been designed to evaluate the usage and utility of the HeartKeeper app. The questionnaire information was collected by collaborating cardiologists from 32 patients before and after they used the app. Patients were randomly selected with established quotas within interest groups, so that men and women, patients older or younger than 60 years old and patients living in urban or rural areas were equally represented. Using the appropriate statistical techniques we see that the HeartKeeper app was useful for patients as they qualify with 70 points (out of 100) the overall opinion of the app, it helps them remember more easily taking their pills with a mean improvement of 20.94 points (p < 0.001) and they perceive a global improvement of their health (8.28 points, p < 0.001). We also observe that these improvements do not depend, in general, on the area (urban or rural) where the patient comes from or on their sex. Although older patients needed more help to use the app and used it slightly less frequently, the improvements on several measures considered, such as remembering taking pills, breathing problems or trouble developing activities, depend significantly (p < 0.05) on age with older patients reporting higher improvements than younger ones. The results obtained with the sample of patients considered in this research prove the utility of the HeartKeeper app. This utility is similar in urban and rural areas and for patients of both sexes and, to some extent, depends on the age of the patient with older patients reporting slightly lower frequency of use but higher health improvements than younger ones.

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Cost-Utility and Cost-Effectiveness Studies of Telemedicine, Electronic, and Mobile Health Systems in the Literature: A Systematic Review

Cited by 383 publications

References 33 publications

Review of economic evaluations of teleophthalmology as a screening strategy for chronic eye disease in adults

Review of economic evaluations of teleophthalmology as a screening strategy for chronic eye disease in adults

A roadmap for the implementation of mHealth innovations for image-based diagnostic support in clinical and public-health settings: a focus on front-line health workers and health-system organizations

Utility of a mHealth App for Self-Management and Education of Cardiac Diseases in Spanish Urban and Rural Areas

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