Cost-utility analysis of a telerehabilitation program: a case study of COPD patients.

Abstract

OBJECTIVE:

The present study seeks to conduct cost-utility analysis (CUA) of the Danish TELEKAT (Telehomecare, Chronic Patients and the Integrated Healthcare System) project. The TELEKAT project seeks to test and develop a preventive home monitoring concept across sectors for chronic obstructive pulmonary disease (COPD) patients. The concept of the TELEKAT project is to reduce admissions by enabling the COPD patients to conduct self-monitoring and maintain rehabilitation activities in their own home. COPD patients with severe and very severe COPD were included in the study.

SUBJECTS AND METHODS:

This economic evaluation follows international guidelines for the conduction of a CUA alongside a clinical randomized controlled trial. The analysis is based on a health sector perspective.

RESULTS:

The mean incremental cost efficiency ratio, located in the southeast quadrant, shows that telerehabilitation is less costly and more effective than the rehabilitation given to the control group. The telerehabilitation program produces more value for money and generates savings on healthcare budgets.

CONCLUSIONS:

The telerehabilitation program appears to be more cost-effective than the conventional rehabilitation program for COPD patients. Further studies of cost-effectiveness with a focus on large-scale studies are needed.

• Authors: Lisa K E Haesum, Natascha Soerensen, Birthe Dinesen, Carl Nielsen, Ove Grann, Ole Hejlesen, Egon Toft, Lars Ehlers
• Journal: Telemedicine journal and e-health : the official journal of the American Telemedicine Association (Telemed J E Health) Vol. 18 Issue 9 Pg. 688-92 (Nov 2012) ISSN: 1556-3669 [Electronic] United States
• PMID: 23020647 (Publication Type: Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)

Topics

• Adult
• Aged
• Aged, 80 and over
• Costs and Cost Analysis (methods)
• Denmark
• Humans
• Middle Aged
• Monitoring, Physiologic
• Pulmonary Disease, Chronic Obstructive (rehabilitation)
• Surveys and Questionnaires
• Telemetry (economics)