Evidence map›Paper›PMID 39405442›Full record

ArticleJournal of primary care & community health

Cost Analysis of a Patient Portal Used to Remotely Monitor COVID-19 Patients in Quebec.

Randa Attieh, Marie-Pascale Pomey, Bertrand Lebouché, Yuanchao Ma, Tarek Hijal, Thomas G Poder

Abstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Randa AttiehInstitut national d'excellence en santé et services sociaux (INESSS), Montreal, QC, Canada.ORCID 0000-0002-6907-824X
Marie-Pascale PomeyInstitut national d'excellence en santé et services sociaux (INESSS), Montreal, QC, Canada.
Bertrand LebouchéResearch Institute of the McGill University Health Centrem Montreal, QC, Canada.
Yuanchao MaResearch Institute of the McGill University Health Centrem Montreal, QC, Canada.ORCID 0000-0002-4048-1705
Tarek HijalResearch Institute of the McGill University Health Centrem Montreal, QC, Canada.
Thomas G PoderUniversité de Montréal, Montreal, QC, Canada.

Funding

CIHR
6 · The paper itself

Abstract

backgroundTelemonitoring for COVID-19 has gained much attention due to its potential in reducing morbidity, healthcare utilization, and costs. However, its benefit with regard to economic outcomes has yet to be clearly demonstrated.

objectiveTo analyze the costs associated with the use of the Opal portal to monitor COVID-19 patients during their 14-day confinement in Quebec and compare them to those of non-users of any home telemonitoring technology.

methodsA cost analysis was conducted through a cross-sectional study between COVID-19 patients who used (PU) the Opal platform during their 14-day confinement at home and those who did not use (PNU) any home remote monitoring technology. Data was collected between June 2021 to April 2022. An individual interview with each participant using an adapted questionnaire was conducted by telephone or online using a teleconferencing platform. A micro-costing approach was undertaken using a dual patient and Quebec's health-care system perspective.

results27 telemonitoring participants, 29 non-users, 8 clinicians, and 4 managers were included. Telemonitoring reduced the average total costs incurred by PU by 82% ($537.3CAD) between PU ($117.2CAD) and PNU ($654.5CAD). Telemonitoring enrollees used healthcare less intensely with fewer emergency room visits (1 PU compared to 6 PNU), which translated to an average savings of $253.3CAD per patient.

conclusionThis is the first study to demonstrate that telemonitoring through the Opal platform is a viable strategy to reduce healthcare costs and utilization for patients and the healthcare system. The evidence provides strong support for introducing telemonitoring as a component of case management.

Indexed as

COVID-19Patient PortalsTelemedicineAdultAgedCosts and Cost AnalysisCross-Sectional StudiesFemaleHumansMaleMiddle AgedQuarantineQuebecSARS-CoV-2cost-analysisCOVID-19portalQuebecremote monitoring

Identifiers

PMID39405442
PMCPMC11526145

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.