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a systematic review of economic analyses of telehealth services using real time video communication系统回顾经济分析使用实时视频通信的远程医疗服务
Wade et al. BMC Health Services Research 2010, 10:233
/1472-6963/10/233
RESEARCH ARTICLE Open Access
A systematic review of economic analyses of
telehealth services using real time video
communication
1* 1 1,2 1,2
Victoria A Wade , Jonathan Karnon , Adam G Elshaug , Janet E Hiller
Abstract
Background: Telehealth is the delivery of health care at a distance, using information and communication
technology. The major rationales for its introduction have been to decrease costs, improve efficiency and increase
access in health care delivery. This systematic review assesses the economic value of one type of telehealth
delivery - synchronous or real time video communication - rather than examining a heterogeneous range of
delivery modes as has been the case with previous reviews in this area.
Methods: A systematic search was undertaken for economic analyses of the clinical use of telehealth, ending in
June 2009. Studies with patient outcome data and a non-telehealth comparator were included. Cost analyses, non-
comparative studies and those where patient satisfaction was the only health outcome were excluded.
Results: 36 articles met the inclusion criteria. 22(61%) of the studies found telehealth to be less costly than the
non-telehealth alternative, 11(31%) found greater costs and 3 (9%) gave the same or mixed results. 23 of the
studies took the perspective of the health services, 12 were societal, and one was from the patient perspective. In
three studies of telehealth to rural areas, the health services paid more for telehealth, but due to savings in patient
travel, the societal perspective demonstrated cost savings. In regard to health outcomes, 12 (33%) of studies found
improved health outcomes, 21 (58%) found outcomes w
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