ArticleJournal of medical Internet research2014
Assessment of the cost-effectiveness and clinical outcomes of a fourth-generation synchronous telehealth program for the management of chronic cardiovascular disease.
Article in Journal of medical Internet research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Remote Monitoring of Patients with Heart Failure: Characteristics of Effective Programs and Implementation Strategies.Vascular health and risk management · 2025Pooled it
- Economic Evaluation Methodologies of Remote Patient Monitoring for Chronic Conditions: Scoping Review.Journal of medical Internet research · 2025Article
- Effects of a Cloud-Based Synchronous Telehealth Program on Valvular Regurgitation Regression: Retrospective Study.Journal of medical Internet research · 2025Article
- Costs and Cardiovascular Benefits of a Fourth-Generation Synchronous Telehealth Program on Mortality and Cardiovascular Outcomes for Patients With Atrial Fibrillation: Retrospective Cohort Study.Journal of medical Internet research · 2024Article
- Effect of Telehealth Services on Mitral and Tricuspid Regurgitation Progression: Retrospective Study.Journal of medical Internet research · 2023Article
- Article
- An Integrated Community-Based Blood Pressure Telemonitoring Program - A Population-Based Observational Study.Acta Cardiologica Sinica · 2022Article
- Community Health Programs Delivered Through Information and Communications Technology in High-Income Countries: Scoping Review.Journal of medical Internet research · 2022Article
- The Impact of Synchronous Telehealth Services With a Digital Platform on Day-by-Day Home Blood Pressure Variability in Patients with Cardiovascular Diseases: Retrospective Cohort Study.Journal of medical Internet research · 2022Article
- The Association Between Short-term Exposure to Ambient Air Pollution and Patient-Level Home Blood Pressure Among Patients With Chronic Cardiovascular Diseases in a Web-Based Synchronous Telehealth Care Program: Retrospective Study.JMIR public health and surveillance · 2021Article
- The Costs and Cardiovascular Benefits in Patients With Peripheral Artery Disease From a Fourth-Generation Synchronous Telehealth Program: Retrospective Cohort Study.Journal of medical Internet research · 2021Article
- Determining if Telehealth Can Reduce Health System Costs: Scoping Review.Journal of medical Internet research · 2020Article
- Factors Influencing the Application of Connected Health in Remote Areas, Taiwan: A Qualitative Pilot Study.International journal of environmental research and public health · 2020Article
- Decision tree-based classifier in providing telehealth service.BMC medical informatics and decision making · 2019Article
- Assessment of the Relationship Between Ambient Temperature and Home Blood Pressure in Patients From a Web-Based Synchronous Telehealth Care Program: Retrospective Study.Journal of medical Internet research · 2019Article
- Use of the CHA2DS2-VASc Score for Risk Stratification of Hospital Admissions Among Patients With Cardiovascular Diseases Receiving a Fourth-Generation Synchronous Telehealth Program: Retrospective Cohort Study.Journal of medical Internet research · 2019Article
- A telehealth system for automated diagnosis of asthma and chronical obstructive pulmonary disease.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Telemedical monitoring of patients with chronic heart failure has a positive effect on total health costs.BMC health services research · 2018Article
- Effect of Contract Compliance Rate to a Fourth-Generation Telehealth Program on the Risk of Hospitalization in Patients With Chronic Kidney Disease: Retrospective Cohort Study.Journal of medical Internet research · 2018Article
- Delivery of Patient-Reported Outcome Instruments by Automated Mobile Phone Text Messaging.Hand (New York, N.Y.) · 2017Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTelehealth programs are a growing field in the care of patients. The evolution of information technology has resulted in telehealth becoming a fourth-generation synchronous program. However, long-term outcomes and cost-effectiveness analysis of fourth-generation telehealth programs have not been reported in patients with chronic cardiovascular diseases.
objectiveWe conducted this study to assess the clinical outcomes and cost-effectiveness of a fourth-generation synchronous telehealth program for patients with chronic cardiovascular diseases.
methodsWe retrospectively analyzed 575 patients who had joined a telehealth program and compared them with 1178 patients matched for sex, age, and Charlson comorbidity index. The program included: (1) instant transmission of biometric data, (2) daily telephone interview, and (3) continuous decision-making support. Data on hospitalization, emergency department (ED) visits, and medical costs were collected from the hospital's database and were adjusted to the follow-up months.
resultsThe mean age was 64.5 years (SD 16.0). The mean number of monthly ED visits (mean 0.06 SD 0.13 vs mean 0.09 SD 0.23, P<.001), hospitalizations (mean 0.05 SD 0.12 vs mean 0.11 SD 0.21, P<.001), length of hospitalization (mean 0.77 days SD 2.78 vs mean 1.4 SD 3.6, P<.001), and intensive care unit admissions (mean 0.01 SD 0.07 vs mean 0.036 SD 0.14, P<.001) were lower in the telehealth group. The monthly mean costs of ED visits (mean US$20.90 SD 66.60 vs mean US$37.30 SD 126.20, P<.001), hospitalizations (mean US$386.30 SD 1424.30 vs mean US$878.20 SD 2697.20, P<.001), and all medical costs (mean US$587.60 SD 1497.80 vs mean US$1163.60 SD 3036.60, P<.001) were lower in the telehealth group. The intervention costs per patient were US$224.80 per month. Multivariate analyses revealed that age, telehealth care, and Charlson index were the independent factors for ED visits, hospitalizations, and length of hospitalization. A bootstrap method revealed the dominant cost-effectiveness of telehealth care over usual care.
conclusionsBetter cost-effectiveness and clinical outcomes were noted with the use of a fourth-generation synchronous telehealth program in patients with chronic cardiovascular diseases. The intervention costs of this new generation of telehealth program do not increase the total costs for patient care.
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