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Economic Modeling of Heart Failure Telehealth Programs: When Do They Become Cost Saving?
Joint Authors
Liu, Sheena Xin
Xiang, Rui
Lagor, Charles
Liu, Nan
Sullivan, Kathleen
Source
International Journal of Telemedicine and Applications
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-07-26
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Telehealth programs for congestive heart failure have been shown to be clinically effective.
This study assesses clinical and economic consequences of providing telehealth programs for CHF patients.
A Markov model was developed and presented in the context of a home-based telehealth program on CHF.
Incremental life expectancy, hospital admissions, and total healthcare costs were examined at periods ranging up to five years.
One-way and two-way sensitivity analyses were also conducted on clinical performance parameters.
The base case analysis yielded cost savings ranging from $2832 to $5499 and 0.03 to 0.04 life year gain per patient over a 1-year period.
Applying telehealth solution to a low-risk cohort with no prior admission history would result in $2502 cost increase per person over the 1-year time frame with 0.01 life year gain.
Sensitivity analyses demonstrated that the cost savings were most sensitive to patient risk, baseline cost of hospital admission, and the length-of-stay reduction ratio affected by the telehealth programs.
In sum, telehealth programs can be cost saving for intermediate and high risk patients over a 1- to 5-year window.
The results suggested the economic viability of telehealth programs for managing CHF patients and illustrated the importance of risk stratification in such programs.
American Psychological Association (APA)
Liu, Sheena Xin& Xiang, Rui& Lagor, Charles& Liu, Nan& Sullivan, Kathleen. 2016. Economic Modeling of Heart Failure Telehealth Programs: When Do They Become Cost Saving?. International Journal of Telemedicine and Applications،Vol. 2016, no. 2016, pp.1-9.
https://search.emarefa.net/detail/BIM-1107084
Modern Language Association (MLA)
Liu, Sheena Xin…[et al.]. Economic Modeling of Heart Failure Telehealth Programs: When Do They Become Cost Saving?. International Journal of Telemedicine and Applications No. 2016 (2016), pp.1-9.
https://search.emarefa.net/detail/BIM-1107084
American Medical Association (AMA)
Liu, Sheena Xin& Xiang, Rui& Lagor, Charles& Liu, Nan& Sullivan, Kathleen. Economic Modeling of Heart Failure Telehealth Programs: When Do They Become Cost Saving?. International Journal of Telemedicine and Applications. 2016. Vol. 2016, no. 2016, pp.1-9.
https://search.emarefa.net/detail/BIM-1107084
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1107084