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HOME TELEMONITORING FOR CHRONIC DISEASE MANAGEMENT: AN ECONOMIC ASSESSMENT

Published online by Cambridge University Press:  20 March 2013

Guy Paré ,
Placide Poba-Nzaou  and
Claude Sicotte
Guy Paré
Affiliation:
Canada Research Chair in Information Technology in Health Care, HEC Montréal
Placide Poba-Nzaou
Affiliation:
Faculty of Management, Université du Québec à Montréal
Claude Sicotte
Affiliation:
Health Administration Department, Faculty of Medicine, Université de Montréal
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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.

Keywords

Home telemonitoringtelehomecareCost minimization analysis; Chronic disease management
Type
ASSESSMENTS
Information
International Journal of Technology Assessment in Health Care , Volume 29 , Issue 2 , April 2013 , pp. 155 - 161
Copyright
Copyright © Cambridge University Press 2013

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