Abstract:
:Information on the costs and benefits of eHealth interventions is needed, not only to document value for money and to support decision making in the field, but also to form the basis for developing business models and to facilitate payment systems to support large-scale services. In the absence of solid evidence of its effects, key decision makers may doubt the effectiveness, which, in turn, limits investment in, and the long-term integration of, eHealth services. However, it is not realistic to conduct economic evaluations of all eHealth applications and services in all situations, so we need to be able to generalize from those we do conduct. This implies that we have to select the most appropriate methodology and data collection strategy in order to increase the transferability across evaluations. This paper aims to contribute to the understanding of how to apply economic evaluation methodology in the eHealth field. It provides a brief overview of basic health economics principles and frameworks and discusses some methodological issues and challenges in conducting cost-effectiveness analysis of eHealth interventions. Issues regarding the identification, measurement, and valuation of costs and benefits are outlined. Furthermore, this work describes the established techniques of combining costs and benefits, presents the decision rules for identifying the preferred option, and outlines approaches to data collection strategies. Issues related to transferability and complexity are also discussed.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Bergmo TSdoi
10.2196/jmir.4521subject
Has Abstractpub_date
2015-11-09 00:00:00pages
e254issue
11eissn
1439-4456issn
1438-8871pii
v17i11e254journal_volume
17pub_type
杂志文章,评审abstract:BACKGROUND:Scaling up improved management of severe acute malnutrition has been identified as the nutrition intervention with the largest potential to reduce child mortality, but lack of operational capacity at all levels of the health system constrains scale-up. We therefore developed an interactive malnutrition eLear...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究
doi:10.2196/10396
更新日期:2018-10-03 00:00:00
abstract::People across the world have been greatly affected by the ongoing coronavirus disease (COVID-19) pandemic. The high infection risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in hospitals is particularly problematic for recently delivered mothers and currently pregnant women who require professiona...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/19916
更新日期:2020-07-22 00:00:00
abstract:BACKGROUND:Web-based digital repositories allow educational resources to be accessed efficiently and conveniently from diverse geographic locations, hold a variety of resource formats, enable interactive learning, and facilitate targeted access for the user. Unlike some other learning management systems (LMS), resource...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2094
更新日期:2013-01-16 00:00:00
abstract:BACKGROUND:Youths in South Africa are poor utilizers of HIV health services. Medecins Sans Frontieres has been piloting youth-adapted services at a youth clinic in Khayelitsha, including a peer virtual mentorship program over mobile phones, piloted from March 2015 to May 2016. OBJECTIVE:The objective of this study was...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/14012
更新日期:2019-12-10 00:00:00
abstract:BACKGROUND:Although vaccination rates are above the threshold for herd immunity in South Korea, a growing number of parents have expressed concerns about the safety of vaccines. It is important to understand these concerns so that we can maintain high vaccination rates. OBJECTIVE:The aim of this study was to develop a...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/13456
更新日期:2019-06-07 00:00:00
abstract:BACKGROUND:Home telemonitoring figures among the various solutions that could help attenuate some of the problems associated with aging populations, rates of chronic illness, and shortages of health professionals. OBJECTIVE:The primary aim of this study was to further our understanding of the clinical effects associat...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.1357
更新日期:2010-06-16 00:00:00
abstract:BACKGROUND:Clinical documentation has undergone a change due to the usage of electronic health records. The core element is to capture clinical findings and document therapy electronically. Health care personnel spend a significant portion of their time on the computer. Alternatives to self-typing, such as speech recog...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.5072
更新日期:2015-11-03 00:00:00
abstract:BACKGROUND:Patients who suffer from different diseases may use different electronic health (eHealth) resources. Thus, those who plan eHealth interventions should take into account which eHealth resources are used most frequently by patients that suffer from different diseases. OBJECTIVE:The aim of this study was to un...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/13116
更新日期:2020-03-05 00:00:00
abstract:BACKGROUND:Stress-related disorders are associated with significant suffering, functional impairment, and high societal costs. Internet-based cognitive behavioral therapy (ICBT) is a promising treatment for stress-related disorders but has so far not been subjected to health economic evaluation. OBJECTIVE:The objectiv...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/14675
更新日期:2019-09-13 00:00:00
abstract:BACKGROUND:Improving recovery from acute symptoms and preventing relapse are two significant challenges in severe mental illness. We developed a personalized smartphone-based app to monitor symptoms in real time and validated its acceptance, reliability, and validity. OBJECTIVE:To assess (i) acceptability of continuou...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/17019
更新日期:2020-08-13 00:00:00
abstract:BACKGROUND:The electronic cigarette (e-cigarette) industry has grown in size and organizational complexity in recent years, most notably with the entry of major tobacco companies in 2012 and the proliferation of vape shops. Many brands maintain retail websites that present e-cigarette marketing claims and sell directly...
journal_title:Journal of medical Internet research
pub_type: 历史文章,杂志文章
doi:10.2196/jmir.8550
更新日期:2018-03-12 00:00:00
abstract::A growing number of investigators have commented on the lack of models to inform the design of behavioral intervention technologies (BITs). BITs, which include a subset of mHealth and eHealth interventions, employ a broad range of technologies, such as mobile phones, the Web, and sensors, to support users in changing ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.3077
更新日期:2014-06-05 00:00:00
abstract:BACKGROUND:Research using genomic data opens up new insights into health and disease. Being able to use the data in association with health and administrative record data held in safe havens can multiply the benefits. However, there is much discussion about the use of genomic data with perceptions of particular challen...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/16346
更新日期:2020-05-15 00:00:00
abstract:BACKGROUND:Web-based physician reviews are invaluable gold mines that merit further investigation. Although many studies have explored the text information of physician reviews, very few have focused on developing a systematic topic taxonomy embedded in physician reviews. The first step toward mining physician reviews ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.8868
更新日期:2018-08-16 00:00:00
abstract:BACKGROUND:eHealth tools on the Internet have the potential to help people manage their health and health care. However, little is known about the distribution and use of different kinds of eHealth tools across the population or within population subgroups. OBJECTIVE:The purpose of this study was to examine the preval...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1035
更新日期:2009-02-20 00:00:00
abstract:BACKGROUND:Personally controlled health management systems (PCHMS), which include a personal health record (PHR), health management tools, and consumer resources, represent the next stage in consumer eHealth systems. It is still unclear, however, what features contribute to an engaging and efficacious PCHMS. OBJECTIVE...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2414
更新日期:2013-05-06 00:00:00
abstract:BACKGROUND:An understanding of the factors that predict retention and website use are critical to the development of effective Web-based weight loss interventions. However, poor retention (dropout attrition) and website utilization (nonusage attrition) are major inhibitors to the effectiveness of Web-based programs. O...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1640
更新日期:2010-12-14 00:00:00
abstract::The ongoing coronavirus disease outbreak demonstrates the need for novel applications of real-time data to produce timely information about incident cases. Using health information technology (HIT) and real-world data, we sought to produce an interface that could, in near real time, identify patients presenting with s...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/18707
更新日期:2020-05-28 00:00:00
abstract:BACKGROUND:Seventy percent of lifetime cases of mental illness emerge before the age of 24 years, but many youth are unable to access the support and services they require in a timely and appropriate way. With most youth using the internet, electronic health (eHealth) interventions are promising tools for reaching this...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.8102
更新日期:2018-03-06 00:00:00
abstract:BACKGROUND:There is no functional pharmacovigilance system in Cambodia to our knowledge. Mobile phone-based tools, such as short message service (SMS) text messages, are increasingly used for surveillance purposes. OBJECTIVE:To pilot-test the FrontlineSMS mobile phone-based tool for notification of adverse events, usi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2477
更新日期:2013-04-16 00:00:00
abstract:BACKGROUND:The majority of workers, regardless of age or occupational status, report engaging in personal Internet use in the workplace. There is little understanding of the impact that personal Internet use may have on patient care in acute clinical settings. OBJECTIVE:The objective of this study was to investigate t...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2421
更新日期:2013-05-17 00:00:00
abstract:BACKGROUND:Advance care planning is the process of discussing health care treatment preferences based on patients' personal values, and it often involves the completion of advance directives. In the first months of 2020, a novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), began circulatin...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/21385
更新日期:2020-08-11 00:00:00
abstract:BACKGROUND:Three-dimensional virtual worlds are becoming very popular among educators in the medical field. Virtual clinics and patients are already used for case study and role play in both undergraduate and continuing education levels. Dental education can also take advantage of the virtual world's pedagogical featur...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2651
更新日期:2013-10-29 00:00:00
abstract:BACKGROUND:Web-based programs for smoking prevention are being increasingly used with some success among adolescents. However, little is known about the mechanisms that link the experience of such programs to intended nicotine or tobacco control outcomes. OBJECTIVE:Based on the experiential learning theory and extende...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.7174
更新日期:2017-02-16 00:00:00
abstract:BACKGROUND:In public health surveillance, measuring how information enters and spreads through online communities may help us understand geographical variation in decision making associated with poor health outcomes. OBJECTIVE:Our aim was to evaluate the use of community structure and topic modeling methods as a proce...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6045
更新日期:2016-08-29 00:00:00
abstract:BACKGROUND:Type 2 diabetes is a serious, pervasive metabolic condition that disproportionately affects ethnic minority patients. Telehealth interventions can facilitate type 2 diabetes monitoring and prevent secondary complications. However, trials designed to test the effectiveness of telehealth interventions may unde...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6374
更新日期:2016-09-26 00:00:00
abstract:BACKGROUND:Health behavior interventions using periodic prompts have utilized technology, such as the Internet, that allows messages to be sent to participants in cost-effective ways. To our knowledge, no comprehensive evidence review has been performed specifically to evaluate the effectiveness of communicating regula...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.1138
更新日期:2009-05-14 00:00:00
abstract:BACKGROUND:The spread of healthy behaviors through social networks may be accelerated by influential individuals. Previous studies have used lay health influencers to prevent sexually transmitted infections (STIs) among internet-using men who have sex with men (MSM). However, there is a lack of understanding of the cha...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/10171
更新日期:2019-01-21 00:00:00
abstract:BACKGROUND:Worldwide nearly 3 million people die from chronic obstructive pulmonary disease (COPD) every year. Integrated disease management (IDM) improves quality of life for COPD patients and can reduce hospitalization. Self-management of COPD through eHealth is an effective method to improve IDM and clinical outcome...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.8262
更新日期:2017-08-16 00:00:00
abstract:BACKGROUND:Automated virtual reality exposure therapies (VRETs) are self-help treatments conducted by oneself and supported by a virtual therapist embodied visually and/or with audio feedback. This simulates many of the nonspecific relational elements and common factors present in face-to-face therapy and may be a mean...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16660
更新日期:2020-03-24 00:00:00