Abstract:
:We compared the costs and cost-effectiveness of telemonitoring vs usual care for patients with chronic obstructive pulmonary disease (COPD). A total of 256 patients were randomised to either telemonitoring or usual care. In the telemonitoring arm, the touch-screen telemonitoring equipment transmitted data to clinical teams monitoring the patients. Total healthcare costs were estimated over a 12-month period from a National Health Service perspective and quality adjusted life year (QALYs) were estimated by the EQ-5D tool. Telemonitoring was not significantly more costly than usual care (mean difference per patient £2065.90 (P < 0.18). The increased costs were predominantly due to telemonitoring service costs and non-significantly higher secondary care costs. Telemonitoring for COPD was not cost-effective at a base case of £137,277 per QALY with only 15% probability of being cost-effective at the usual threshold of £30,000 per QALY. Although there was some statistical and methodological uncertainty in the measures used, telemonitoring was not cost-effective in the sensitivity analyses performed. It seems unlikely that a telemonitoring service of the kind that was trialled would be cost-effective in providing care for people with COPD.
journal_name
J Telemed Telecarejournal_title
Journal of telemedicine and telecareauthors
Stoddart A,van der Pol M,Pinnock H,Hanley J,McCloughan L,Todd A,Krishan A,McKinstry Bdoi
10.1177/1357633X14566574subject
Has Abstractpub_date
2015-03-01 00:00:00pages
108-18issue
2eissn
1357-633Xissn
1758-1109pii
1357633X14566574journal_volume
21pub_type
杂志文章,随机对照试验abstract::We developed a consultation and teaching concept about leg wounds and their care, for use by patients and caregivers in a home health-care setting. Descriptive data were gathered through a survey distributed to three groups, comprising 21 individuals (18 nurses and 3 health administrators). These participants provided...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,多中心研究
doi:10.1258/135763307781458859
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to model the cost of delivering behavioural health services to rural Native American populations using telecommunications and compare these costs with the travel costs associated with providing equivalent care. METHODS:Behavioural telehealth costs were modelled using equipment, ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X15587171
更新日期:2016-01-01 00:00:00
abstract::Over one-third of adults are at risk of developing sleep disorders. Telemedicine is emerging as an effective tool in sleep medicine by allowing people to undergo sleep studies without overnight hospital stays (e.g. monitoring at home). Telemedicine has the potential to overcome several obstacles in the diagnosis and t...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763306779378681
更新日期:2006-01-01 00:00:00
abstract::We designed a telemedicine system that supports collaborative work on video-images from coronary cine-angiograms and cine-ventriculograms. Two workstations were connected by ISDN at 128 kbit/s. Coronary cine-angiogram and cine-ventriculogram video-images were transmitted to an image examination workstation before the ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763304323070797
更新日期:2004-01-01 00:00:00
abstract::The number of people with pacemakers has been steadily increasing over the past 20 years. At present there are about 2,500,000 in the world. All these patients must have a checkup twice a year in hospital, which involves the allocation of significant resources by the national health systems, not to speak of the inconv...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633971930931
更新日期:1997-01-01 00:00:00
abstract::There are a number of different costs associated with the development and operation of telemedicine services. A model is proposed in order to assist in strengthening the evidence base for telemedicine. It includes the following components: project establishment costs; equipment costs; maintenance costs; communication ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633981931867
更新日期:1998-01-01 00:00:00
abstract:INTRODUCTION:Help4Mood is an interactive system with an embodied virtual agent (avatar) to assist in self-monitoring of patients receiving treatment for depression. Help4Mood supports self-report and biometric monitoring and includes elements of cognitive behavioural therapy. We aimed to evaluate system use and accepta...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
doi:10.1177/1357633X15609793
更新日期:2016-09-01 00:00:00
abstract::Desktop videoconferencing at 384 kbit/s was used for a trial of tele-ophthalmology consultations between a general practitioner (GP) and an experienced ophthalmologist. Forty-two consecutive patients from St Erik's Eye Hospital emergency ward with disorders in the anterior part of the eye were examined. There was an e...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X010070S110
更新日期:2001-01-01 00:00:00
abstract:INTRODUCTION:Bladder cancer is the most costly malignancy to manage per capita due to the technical nature and intensity of follow-up. There are few urologists in rural areas, often necessitating that patients travel hours to receive follow-up care multiple times per year. We plan to train registered nurses and allied ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X15610040
更新日期:2016-10-01 00:00:00
abstract::Introduction Pulmonary rehabilitation (PR) is an integral part of the management of chronic obstructive pulmonary disease (COPD). However, many patients do not access or complete PR, and long-term exercise maintenance has been difficult to achieve after PR. This study aimed to investigate feasibility, long-term exerci...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X15625545
更新日期:2017-01-01 00:00:00
abstract::The teleambulance aims to facilitate adequate medical treatment by initiating and guaranteeing maximum preparation and immediate hospital handling of the patient either at the scene of an incident or during transportation. Following the problem definition and the identification of the medical fields the technology can...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633961929367
更新日期:1996-01-01 00:00:00
abstract::The clinical effectiveness and costs of telemedicine in improving the referral process from primary to secondary care were examined in an eight-month prospective, comparative study with one-year follow-up. The internal-medicine outpatient clinics of two Finnish district hospitals were compared--Peijas Hospital (PH) wi...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633001935996
更新日期:2000-01-01 00:00:00
abstract::Telepathology is currently performed only on prototype systems. The application of telepathology consultations differs from the conventional procedure because of the technical and cost restrictions. This paper outlines technical concepts and the principal hardware and software modules necessary for telemicroscopy equi...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633961929736
更新日期:1996-01-01 00:00:00
abstract::Introduction Following (chemo)radiotherapy (C/RT) for head and neck cancer (HNC), patients return to hospital for regular outpatient reviews with speech pathology (SP) and nutrition and dietetics (ND) for acute symptom monitoring, nutritional management, and swallowing and communication rehabilitation. The aim of the ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X17733020
更新日期:2017-12-01 00:00:00
abstract:INTRODUCTION:Much attention has been focused on decreasing chronic obstructive pulmonary disease (COPD) hospital readmissions. The US health system has struggled to meet this goal. The objective of this study was to assess the efficacy of telehealth services on the reduction of hospital readmission and mortality rates ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X20970402
更新日期:2020-11-11 00:00:00
abstract::In March 1998 two neurologists and a professor of telemedicine met to solve a clinical problem--how to get neurological expertise to patients admitted acutely to hospitals which had no resident neurologist. Four years later, two new consultant neurologists were appointed in Northern Ireland with sessions in telemedici...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract:INTRODUCTION:Using real-world data from the Providence Oregon Telestroke Network, we examined the cost-effectiveness of telestroke from both the spoke and hub perspectives by level of financial responsibility for these costs and by patient stroke severity. METHODS:We constructed a decision analytic model using patient...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X15613920
更新日期:2016-10-01 00:00:00
abstract::In West Glasgow email has evolved from a rapid means of arranging therapy appointments with adults who stammer into a medium for exchange of therapeutic messages with some clients. Since 2004, sixteen clients have used email to communicate as part of their therapy programme. The benefits include improving access to se...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/jtt.2010.100114
更新日期:2011-01-01 00:00:00
abstract::An emergency ambulance was equipped with three video-cameras and a system for transmitting slow-scan video-pictures through a cellular telephone link to a hospital accident and emergency department. Video-pictures were trasmitted at a resolution of 320 x 240 pixels and a frame rate of 15 pictures/min. In addition, a h...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633981932299
更新日期:1998-01-01 00:00:00
abstract::Introduction The aim of this study was to improve the quality of diabetes control and evaluate the efficacy of an Internet-based integrated healthcare system for diabetes management and safety. Methods We conducted a large-scale, multi-centre, randomized clinical trial involving 484 patients. Patients in the intervent...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/1357633X16657500
更新日期:2017-07-01 00:00:00
abstract::Searches were conducted of two legal databases dealing with civil law in Austria. The searches produced 12 references relevant to telemedicine, which were obtained from a university legal library. From the literature, it can be concluded that Austrian civil regulations are sufficient to clarify the questions of liabil...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
doi:10.1258/1357633971931066
更新日期:1997-01-01 00:00:00
abstract::We compared the administration of the 9-item Patient Health Questionnaire (PHQ-9) to assess depressive symptoms using interactive voice response (IVR) technology with the method of administration using paper-and-pencil. Data were collected from 51 veterans participating in an 8-week randomized controlled trial of an i...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/jtt.2012.120220
更新日期:2012-09-01 00:00:00
abstract::A home electrocardiography (ECG) and blood pressure (BP) monitoring network was established in Beijing. The network consisted of three parts: (1) the home ECG and BP monitoring devices; (2) the monitoring centre at the hospital; and (3) the data communication network, for which we chose the public telephone network. T...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X9600200206
更新日期:1996-01-01 00:00:00
abstract::We established a telerehabilitation system to link staff at the University of Alberta with clinicians and students located in Two Hills, a rural community approximately 180 km east of Edmonton. From February 1996 to March 1999, the faculty of Rehabilitation Medicine conducted a total of 254 telehealth sessions, most o...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633001935554
更新日期:2000-01-01 00:00:00
abstract::In a developing country such as India, there is substantial inequality in health care distribution. Telemedicine facilities were established in Madhya Pradesh in 2007-2008. The purpose of this study was to evaluate the infrastructure, equipment, manpower, and functional status of Indian Space and Research Organisation...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X15593450
更新日期:2016-04-01 00:00:00
abstract::We studied the patient experience of a telephone booster intervention, i.e. weekly reinforcement of the clinic advice regarding lifestyle modification advice to support weight loss. Forty six adults with Type 2 diabetes and a body mass index >28 kg/m(2) were randomised into either intervention (n = 25) or control (n =...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
doi:10.1258/jtt.2010.004016
更新日期:2010-01-01 00:00:00
abstract::Background Madagascar's maternal health mortality ratio in 2013 was 478 deaths per 100,000 live births. Most deaths are related to direct complications during pregnancy and childbirth and could be reduced by providing comprehensive antenatal care (ANC). Objective The objective of the study was to assess the usability ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X16653540
更新日期:2017-06-01 00:00:00
abstract::This paper describes a distributed visualization of the operation of a reovirus. This visualization allows several groups of users at different locations to view how the virus behaves in normal and cancer cells. The users at each location can interact with the visualization and the other users. The techniques used to ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633001935446
更新日期:2000-01-01 00:00:00
abstract::A distance continuing medical education programme was established at the Katholieke Universiteit Leuven using multipoint videoconferencing via ISDN lines at 384 kbit/s. During each academic year, 24-26 sessions were organized. During the first three years, a questionnaire was completed by 29% of the 13,489 participant...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763303767149997
更新日期:2003-01-01 00:00:00
abstract:INTRODUCTION:Veterans with post-traumatic stress disorder (PTSD) face significant barriers that make it less likely for them to pursue treatment. A randomized controlled non-inferiority trial was used to determine if providing psychotherapy for PTSD via videoconference (VC) is as effective as in-person (IP) psychothera...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
doi:10.1177/1357633X19853947
更新日期:2020-10-01 00:00:00