Cost effectiveness of telehealth for patients with long term conditions (Whole Systems Demonstrator telehealth questionnaire study): nested economic evaluation in a pragmatic, cluster randomised controlled trial
Why the study?
Does telehealth in addition to standard care improve incremental cost per QALY gained in patients with long term conditions?
Population
3230 people with a long term condition in England. 1573 in questionnaire study, with 965 in net benefit…
Comparison
Package of telehealth equipment and monitoring… vs Usual health and social care
Design
RCT, cluster randomised
Follow-up
12 months
Authors
Discussion
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Member takes
Implication
Telehealth added to usual care is unlikely to be cost-effective; challenges assumptions of value and warrants reevaluation before broader adoption.
Structured PICO
Does telehealth in addition to standard care improve incremental cost per QALY gained in patients with long term conditions?
P
Population
3230 people with a long term condition (heart failure, chronic obstructive pulmonary disease, or diabetes) in England. 1573 in questionnaire study (845 randomised to telehealth, 728 to usual care), with 965 in net benefit analysis.
I
Intervention
Package of telehealth equipment and monitoring services for 12 months, in addition to standard health and social care services
C
Comparator
Usual health and social care
O
Outcome
Incremental cost per quality adjusted life year (QALY) gained
Telehealth in addition to usual care for patients with long-term conditions does not appear to be a cost-effective addition to standard support and treatment.
Cite This Study
Henderson et al. (2013) studied this question.