Key result
A systematic review of 9 papers found that none established a quantitative relationship between adherence to telemedical patient management and total healthcare costs in heart failure patients.
Why the study?
Does adherence to telemedical patient management impact treatment costs in heart failure patients?
Systematic Review (n=9)
Does adherence to telemedical patient management impact treatment costs in heart failure patients?
A systematic review found no existing quantitative evidence linking adherence in telemedical heart failure management to total healthcare costs, highlighting a gap for future cost-effectiveness models.
HF telehealth cost models must integrate adherence metrics; leaves open their quantitative effect on total expenditures.
Summary Objective: This paper analyzes evidence of the impact of patients’ adherence to pharmacological and non-pharmacological recommendations on the treatment costs of heart failure (HF) patients. Methods: A systematic review was performed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Papers were searched using various combinations of the following keywords: ‘telemedicine’, ‘telemonitoring’, ‘telehealth’, ‘eHealth’, ‘remote monitoring’, ‘adherence’, ‘compliance’, ‘cost-effectiveness’, ‘cost-benefit’, ‘heart failure’, ‘healthcare costs’, ‘hospitalization’, and ‘drug costs’. We included only papers written in English or German, published between 1998 and 2014, and having one of our search terms in the title. Results: Initially, 73 papers were selected. After a detailed review, these were narrowed done to 9 that reported an association between adherence and/or compliance and costs. However, none established a quantitative relationship between adherence and total healthcare costs. Conclusion: A model-based cost-effectiveness analysis that appropriately considers adherence has not been carried out so far, but is needed to fully understand the potential economic benefits of telehealth. Citation: Hameed AS, Sauermann S, Schreier G. The impact of adherence on costs and effectiveness of telemedical patient management in heart failure: A systematic review. Appl Clin Inf 2014; 5: 612–620 http://dx.doi.org/10.4338/ACI-2014-04-RA-0037
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Sauermann et al. (2014) conducted a systematic review in heart failure (n=9). Adherence to telemedical patient management was evaluated on Quantitative relationship between adherence and total healthcare costs. A systematic review of 9 papers found that none established a quantitative relationship between adherence to telemedical patient management and total healthcare costs in heart failure patients.
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