IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v21y2024i10p1381-d1501813.html
   My bibliography  Save this article

Cost-Effectiveness Analysis of Telehealth and In-Person Primary Care Visits for People Living with Alzheimer’s Disease-Related Disorders in the State of Nevada

Author

Listed:
  • Yonsu Kim

    (Department of Healthcare Administration and Healthcare Policy, School of Public Health, University of Nevada, Las Vegas, NV 89119, USA)

  • Jay J. Shen

    (Department of Healthcare Administration and Healthcare Policy, School of Public Health, University of Nevada, Las Vegas, NV 89119, USA
    Center for Health Disparities Research, School of Public Health, University of Nevada, Las Vegas, NV 89119, USA)

  • Ian Choe

    (Digital Health Division, Nevada Optum Care, Las Vegas, NV 89128, USA
    Department of Internal Medicine, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV 89102, USA)

  • Jerry Reeves

    (Comagine Health, Las Vegas, NV 89118, USA)

  • David Byun

    (Department of Internal Medicine, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV 89102, USA
    Department of Medicine, William Bee Ririe Rural Health Hospital and Clinic, Ely, NV 89301, USA
    Department of Medicine, Veterans Affairs Southern Nevada Health Care, North Las Vegas, NV 89086, USA)

  • Iulia Ioanitoaia-Chaudhry

    (Department of Internal Medicine, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV 89102, USA
    Geriatric Education Center, Veterans Affairs Southern Nevada Health Care, North Las Vegas, NV 89086, USA)

  • Leora Frimer

    (Department of Internal Medicine, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV 89102, USA)

  • Pengfeng Jin

    (Department of Internal Medicine, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV 89102, USA)

  • Maryam Tabrizi

    (School of Dental Medicine, University of Nevada, Las Vegas, NV 89154, USA)

  • Hee-Taik Kang

    (Department of Family Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea)

  • Jae-Woo Lee

    (Department of Family Medicine, College of Medicine, Chungbuk National University Hospital, Cheongju 28644, Republic of Korea)

  • Claire Sieun Lee

    (Department of Internal Medicine, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV 89102, USA)

  • Tae-Ha Chung

    (Department of Family Medicine, Yonsei University Wonju College of Medicine, Wonju 26426, Republic of Korea)

  • Yena Hwang

    (Department of Internal Medicine, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV 89102, USA)

  • Ian Park

    (Department of Internal Medicine, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV 89102, USA)

  • Hayden Leung

    (Department of Internal Medicine, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV 89102, USA)

  • Jenna Park

    (Department of Internal Medicine, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV 89102, USA)

  • Ji Won Yoo

    (Department of Internal Medicine, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV 89102, USA)

Abstract

To people living with Alzheimer’s Disease-Related Disorders (ADRD), timely and coordinated communication is essential between their informal caregivers and healthcare providers. In provider shortage areas, for example, the state of Nevada, telehealth can be an effective primary care delivery alternative to in-person visits. To evaluate the cost-effectiveness of telehealth visits for people living with ADRD in the state of Nevada, a decision-analytic Markov model was developed from healthcare system perspectives with a 10-year horizon/1-year cycle. To estimate the effects of demographic and geographic parameters on the Markov model, race parameters were divided into non-Hispanic White individuals vs. others and location parameters were divided into urban vs. rural. A 12-item short-version Zarit Burden Interview (ZBI-12) was applied to measure the informal caregiver burdens of non-institutionalized people living with ADRD. The values of mortality rate and healthcare utilization were obtained from healthcare systems’ publicly available payor administrative data and Nevada State Inpatient/Emergency Department datasets. Among urban-residing non-Hispanic White individuals, the Incremental Cost-Effectiveness Ratio (ICER) per modified ZBI-12 indicated a cost saving of USD 9.44 with telehealth visits; among urban-residing racial minorities, the ICER per modified ZBI-12 indicated a cost saving of USD 29.26 with in-person visits; and among rural residents, the ICER per modified ZBI-12 indicated a cost-saving of USD 320.93 with telehealth visits. Distributional differences in the cost-saving effects of telehealth primary care were noted in line with racial and geographic parameters. Workforce and caregiver training is necessary for reducing distributional differences, especially among urban-residing racial monitories living with ADRD in the provider shortage area of the state of Nevada.

Suggested Citation

  • Yonsu Kim & Jay J. Shen & Ian Choe & Jerry Reeves & David Byun & Iulia Ioanitoaia-Chaudhry & Leora Frimer & Pengfeng Jin & Maryam Tabrizi & Hee-Taik Kang & Jae-Woo Lee & Claire Sieun Lee & Tae-Ha Chun, 2024. "Cost-Effectiveness Analysis of Telehealth and In-Person Primary Care Visits for People Living with Alzheimer’s Disease-Related Disorders in the State of Nevada," IJERPH, MDPI, vol. 21(10), pages 1-10, October.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:10:p:1381-:d:1501813
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/21/10/1381/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/21/10/1381/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Ramesh Chandra Das & Enrico Ivaldi, 2021. "Is Pollution a Cost to Health? Theoretical and Empirical Inquiry for the World’s Leading Polluting Economies," IJERPH, MDPI, vol. 18(12), pages 1-17, June.
    2. Agras, Jean & Chapman, Duane, 1999. "A dynamic approach to the Environmental Kuznets Curve hypothesis," Ecological Economics, Elsevier, vol. 28(2), pages 267-277, February.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Chiu, Chien-Liang & Chang, Ting-Huan, 2009. "What proportion of renewable energy supplies is needed to initially mitigate CO2 emissions in OECD member countries?," Renewable and Sustainable Energy Reviews, Elsevier, vol. 13(6-7), pages 1669-1674, August.
    2. Sebri, Maamar, 2009. "La Zone Méditerranéenne Face à la Pollution de L’air : Une Investigation Econométrique [The Mediterranean Zone in front of Air pollution: an Econometric Investigation]," MPRA Paper 32382, University Library of Munich, Germany.
    3. Saidi Kais & Ben Mbarek Mounir, 2017. "Causal interactions between environmental degradation, renewable energy, nuclear energy and real GDP: a dynamic panel data approach," Environment Systems and Decisions, Springer, vol. 37(1), pages 51-67, March.
    4. Xin Nie & Jianxian Wu & Han Wang & Weijuan Li & Chengdao Huang & Lihua Li, 2022. "Contributing to carbon peak: Estimating the causal impact of eco‐industrial parks on low‐carbon development in China," Journal of Industrial Ecology, Yale University, vol. 26(4), pages 1578-1593, August.
    5. Dongchuan Wang & Wengang Chen & Wei Wei & Broxton W. Bird & Lihui Zhang & Mengqin Sang & Qianqian Wang, 2016. "Research on the Relationship between Urban Development Intensity and Eco-Environmental Stresses in Bohai Rim Coastal Area, China," Sustainability, MDPI, vol. 8(4), pages 1-15, April.
    6. Huang, Bwo-Nung & Hwang, M.J. & Yang, C.W., 2008. "Causal relationship between energy consumption and GDP growth revisited: A dynamic panel data approach," Ecological Economics, Elsevier, vol. 67(1), pages 41-54, August.
    7. Valeria Costantini & Chiara Martini, 2010. "A Modified Environmental Kuznets Curve for sustainable development assessment using panel data," International Journal of Global Environmental Issues, Inderscience Enterprises Ltd, vol. 10(1/2), pages 84-122.
    8. Brantley Liddle, 2017. "Accounting for Nonlinearity, Asymmetry, Heterogeneity, and Cross-Sectional Dependence in Energy Modeling: US State-Level Panel Analysis," Economies, MDPI, vol. 5(3), pages 1-11, August.
    9. Ramesh Chandra Das & Tonmoy Chatterjee & Enrico Ivaldi, 2022. "Nexus between Housing Price and Magnitude of Pollution: Evidence from the Panel of Some High- and-Low Polluting Cities of the World," Sustainability, MDPI, vol. 14(15), pages 1-18, July.
    10. Olusola Joel Oyeleke, 2021. "On the Non-Linear Relationship between Fiscal Deficit and Inflation: The Nigeria Experience," International Advances in Economic Research, Springer;International Atlantic Economic Society, vol. 27(2), pages 105-117, May.
    11. Juhyun Oh, 2023. "The Effects of Local Government Expenditures on Carbon Dioxide Emissions: Evidence from Republic of Korea," Sustainability, MDPI, vol. 15(20), pages 1-15, October.
    12. Sabuj Kumar Mandal & Devleena Chakravarty, 2017. "Role of energy in estimating turning point of Environmental Kuznets Curve: an econometric analysis of the existing studies," Journal of Social and Economic Development, Springer;Institute for Social and Economic Change, vol. 19(2), pages 387-401, October.
    13. Devleena Chakravarty & Sabuj Kumar Mandal, 2019. "Environmental Kuznets curve for local and global pollutants: application of GMM and random coefficient panel data models," Journal of Social and Economic Development, Springer;Institute for Social and Economic Change, vol. 21(2), pages 212-233, December.
    14. Huthaifa Alqaralleh, 2021. "On the nexus of CO2 emissions and renewable and nonrenewable energy consumption in Europe: A new insight from panel smooth transition," Energy & Environment, , vol. 32(3), pages 443-457, May.
    15. Cerdeira Bento, João Paulo, 2014. "The determinants of CO2 emissions: empirical evidence from Italy," MPRA Paper 59166, University Library of Munich, Germany.
    16. He, Jie & Richard, Patrick, 2010. "Environmental Kuznets curve for CO2 in Canada," Ecological Economics, Elsevier, vol. 69(5), pages 1083-1093, March.
    17. Donghui Lv & Ruru Wang & Yu Zhang, 2021. "Sustainability Assessment Based on Integrating EKC with Decoupling: Empirical Evidence from China," Sustainability, MDPI, vol. 13(2), pages 1-22, January.
    18. Rodríguez, Miguel & Pena-Boquete, Yolanda & Pardo-Fernández, Juan Carlos, 2016. "Revisiting Environmental Kuznets Curves through the energy price lens," Energy Policy, Elsevier, vol. 95(C), pages 32-41.
    19. Shahbaz, Muhammad & Haouas, Ilham & Hoang, Thi Hong Van, 2019. "Economic growth and environmental degradation in Vietnam: Is the environmental Kuznets curve a complete picture?," Emerging Markets Review, Elsevier, vol. 38(C), pages 197-218.
    20. Adedoyin Ramat Ayinde & Bilal Celik & Jelilov Gylych, 2019. "Effect of Economic Growth, Industrialization, and Urbanization on Energy Consumption in Nigeria: A Vector Error Correction Model Analysis," International Journal of Energy Economics and Policy, Econjournals, vol. 9(5), pages 409-418.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:21:y:2024:i:10:p:1381-:d:1501813. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.