IDEAS home Printed from https://ideas.repec.org/p/hal/journl/hal-01517028.html
   My bibliography  Save this paper

Home telemonitoring for chronic disease management: an economic assessment

Author

Listed:
  • Guy Paré
  • Placide Poba-Nzaou
  • Claude Sicotte

    (EA MOS - EA Management des Organisations de Santé - EHESP - École des Hautes Études en Santé Publique [EHESP] - PRES Sorbonne Paris Cité, EHESP - École des Hautes Études en Santé Publique [EHESP])

Abstract

OBJECTIVES: There have been very few assessments of the economics of home telemonitoring, and the quality of evidence has often been weakened by methodological flaws. This has made it difficult to compare telehomecare with traditional home care for the chronic diseases studied. This economic analysis is an attempt to address this gap in the literature. METHODS: We have analyzed the consumption of healthcare services by 95 patients with various chronic diseases over a 21-month period, that is, 12 months before, 4 months during home telemonitoring use, and over 5 months after withdraw of the technology. RESULTS: Our findings indicate significant benefits to the home telemonitoring program as evidenced by large reductions in number of hospitalizations, length of average hospital stay, and, to a lesser extent, number of emergency room visits. Contrary to expectations, however, the number of home visits by nurses increased both during and after the telemonitoring intervention. In terms of the financial analysis, the telehomecare program resulted in significant savings: the equivalent of over CAD1,557 per patient as calculated on an annualized basis. This represents a net gain of 41 percent as compared to traditional home care. CONCLUSIONS: While the present economic analysis led to positive results, additional assessments should be conducted to confirm the cost-effectiveness of this mode of care delivery.

Suggested Citation

  • Guy Paré & Placide Poba-Nzaou & Claude Sicotte, 2013. "Home telemonitoring for chronic disease management: an economic assessment," Post-Print hal-01517028, HAL.
  • Handle: RePEc:hal:journl:hal-01517028
    DOI: 10.1017/S0266462313000111
    as

    Download full text from publisher

    To our knowledge, this item is not available for download. To find whether it is available, there are three options:
    1. Check below whether another version of this item is available online.
    2. Check on the provider's web page whether it is in fact available.
    3. Perform a search for a similarly titled item that would be available.

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Katherine Rojahn & Suzanne Laplante & James Sloand & Claire Main & Aftab Ibrahim & Janet Wild & Nicky Sturt & Thelga Areteou & K Ian Johnson, 2016. "Remote Monitoring of Chronic Diseases: A Landscape Assessment of Policies in Four European Countries," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-15, May.
    2. Christian Rainero & Silvana Secinaro & Elena Nave & Elisabetta Bignamini, 2017. "Home Tele-monitoring: Economic and Clinical Impact of the Service for Patients with Chronic Respiratory Disease," Journal of Management and Strategy, Journal of Management and Strategy, Sciedu Press, vol. 8(5), pages 48-54, November.
    3. Marianne Araj & Jolianne Bolduc & Clara Bolster-Foucault & Roxane Borgès Da Silva & Mélanie Bourassa Forcier & Francesca Brundisini & Siramane Coulibaly & Carl-Ardy Dubois & Raquel Fonseca & Pierre-Ca, 2020. "La santé au cœur de la relance économique du Québec," CIRANO Papers 2020pr-01, CIRANO.

    More about this item

    Keywords

    health care services;

    Statistics

    Access and download statistics

    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:hal:journl:hal-01517028. 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.

    We have no bibliographic references for this item. You can help adding them by using 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: CCSD (email available below). General contact details of provider: https://hal.archives-ouvertes.fr/ .

    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.