Cost-effectiveness of telemedicine in the follow-up of asthmatics: a systematic review

Abstract

Aim: systematic review of the literature on the cost-effectiveness of telemedicine in the follow-up of asthmatics. Method: Systematic review of the PUBMED / MEDLINE, LILACS and Cochrane Central databases. Articles published in English, Portuguese or Spanish were considered in the period from 2005 to 2018 according to the PRISMA guidelines. Results: A total of 1363 articles were identified, of which 59 were read in their entirety. Only five met the eligibility criteria, and all were made in European countries and totaled 2,497 participants. The interventions were performed by nurses (4 of 5 studies), remaining from 16 weeks to 12 months. Telemedicine costs were similar or slightly lower compared to usual treatments. Telemedicine had a beneficial effect on asthma control (1 of 5 studies), quality of life (3 out of 5 studies) and hospitalizations (1 of 5 studies). Conclusion: Telemedicine slightly reduces costs with asthma management and may have an impact on morbidity indicators

https://doi.org/10.17665/1676-4285.20186167
HTML
EPUB
HTML (Español (España))
HTML (Português (Brasil))
PDF
PDF (Español (España))
PDF (Português (Brasil))

References

Pérez-Manchón D. Telemedicina, una red social médica de ayuda humanitaria entre España y Camerún. Gac Sanit [Internet]. 2015 Feb; 29 (1): 59-61. Disponible en: http://www.gacetasanitaria.org/es-linkresolver-telemedicina-una-red-social-medica-S021391111400209X

Mariani AW, Pêgo-Fernandes PM. Telemedicine: a technological revolution. Sao Paulo Med. J. [Internet]. 2012; 130 (5): 277-278. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802012000500001&lng=en.

To T, Stanojevic S, Moores G, Gershon AS, Bateman ED, Cruz AA, Boulet LP. Global asthma prevalence in adults: findings from the cross-sectional world health survey. BMC Public Health. 2012 Mar 19; 12:204. doi: 10.1186/1471-2458-12-204. Available from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-12-204

The Global Asthma Report 2018. Auckland, New Zealand: Global Asthma Network, 2018.

Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention, 2018. Available from: www.ginasthma.org.

Koufopoulos JT, Conner MT, Gardner PH, Kellar I. A Web-Based and Mobile Health Social Support Intervention to Promote Adherence to Inhaled Asthma Medications: Randomized Controlled Trial. J Med Internet Res. 2016 Jun 13;18(6):e122. doi: 10.2196/jmir.4963. Available from: https://www.jmir.org/2016/6/e122/

Licskai C, Sands TW, Ferrone M. Development and pilot testing of a mobile health solution for asthma self-management: asthma action plan smartphone application pilot study. Can Respir J. 2013 Jul-Aug; 20(4): 301-6. Available from: https://www.hindawi.com/journals/crj/2013/906710/abs/

Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009 Jul 21;6(7):e1000097. doi: 10.1371/journal.pmed.1000097. Epub 2009 Jul 21. Available from: https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1000097

van der Meer V, van den Hout WB, Bakker MJ, Rabe KF, Sterk PJ, Assendelft WJ, Kievit J, Sont JK; SMASHING (Self-Management in Asthma Supported by Hospitals, ICT, Nurses and General Practitioners) Study Group. Cost-effectiveness of Internet-based self-management compared with usual care in asthma. PLoS One. 2011;6(11):e27108. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0027108 [included in the review].

Pinnock H, Adlem L, Gaskin S, Harris J, Snellgrove C, Sheikh A. Accessibility, clinical effectiveness, and practice costs of providing a telephone option for routine asthma reviews: phase IV controlled implementation study. Br J Gen Pract. 2007 Sep;57(542):714-22. Available from: https://bjgp.org/content/57/542/714.long [included in the review].

Pinnock H, McKenzie L, Price D, Sheikh A. Cost-effectiveness of telephone or surgery asthma reviews: economic analysis of a randomised controlled trial. Br J Gen Pract. 2005 Feb;55(511):119-24. Available from: https://bjgp.org/content/55/511/119.long [included in the review].

Ostojic V, Cvoriscec B, Ostojic SB, Reznikoff D, Stipic-Markovic A, Tudjman Z. Improving asthma control through telemedicine: a study of short-message service. Telemed J E Health. 2005 Feb;11(1):28-35. Available from: https://www.liebertpub.com/doi/abs/10.1089/tmj.2005.11.28?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub%3Dpubmed& [included in the review].

Gruffydd-Jones K, Hollinghurst S, Ward S, Taylor G. Targeted routine asthma care in general practice using telephone triage. Br J Gen Pract. 2005 Dec;55(521):918-23. Available from: https://bjgp.org/content/55/521/918.long [included in the review].

World Health Organization. Preparing a health care work force for the 21st century: the challenge of chronic conditions. Available from: http://www.who.int/chp/knowledge/publications/workforce_report/en/

Shih J, Portnoy J. Tips for Seeing Patients via Telemedicine. Curr Allergy Asthma Rep. 2018 Aug 15;18(10):50. Available from: https://link.springer.com/article/10.1007%2Fs11882-018-0807-5

Dávalos ME, French MT, Burdick AE, Simmons SC. Economic evaluation of telemedicine: review of the literature and research guidelines for benefit-cost analysis. Telemed J E Health. 2009 Dec;15(10):933-48. Available from: https://www.liebertpub.com/doi/abs/10.1089/tmj.2009.0067?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed

Waller M, Stotler C. Telemedicine: a Primer. Curr Allergy Asthma Rep. 2018 Aug 25;18(10):54. Available from: https://link.springer.com/article/10.1007%2Fs11882-018-0808-4

Waibel KH. Synchronous telehealth for outpatient allergy consultations: A 2-year regional experience. Ann Allergy Asthma Immunol. 2016 Jun;116(6):571-575.e1. Available from: https://www.annallergy.org/article/S1081-1206(16)30089-8/fulltext

Liu WT, Huang CD, Wang CH, Lee KY, Lin SM, Kuo HP. A mobile telephone-based interactive self-care system improves asthma control. Eur Respir J. 2011 Feb;37(2):310-7. Available from: http://erj.ersjournals.com/content/37/2/310.long

Bonini M. Electronic health (e-Health): emerging role in asthma. Curr Opin Pulm Med. 2017 Jan;23(1):21-26. Available from: https://insights.ovid.com/pubmed?pmid=27763999

Ambrosino N, Fracchia C. The role of tele-medicine in patients with respiratory diseases. Expert Rev Respir Med. 2017 Nov;11(11):893-900. Available from: https://www.tandfonline.com/doi/abs/10.1080/17476348.2017.1383898?journalCode=ierx20

Hernandez C1, Mallow J2, Narsavage GL3. Delivering telemedicine interventions in chronic respiratory disease. Breathe (Sheff). 2014 Sep;10(3):198-212. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4734754/

Wootton R, Vladzymyrskyy A, Zolfo M, Bonnardot L. Experience with low-cost telemedicine in three different settings. Recommendations based on a proposed framework for network performance evaluation. Global Health Action 2011, 4: 7214. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3234078/

Wootton R, Bonnardot L. In what circumstances is telemedicine appropriate in the developing world? JRSM Short Rep. 2010 Oct 1;1(5):37. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2984368/

Barbosa IA, Silva MJP. Cuidado de enfermagem por telessaúde: qual a influência da distância na comunicação? Rev Bras Enferm. 2017;70(5):978-84. Disponível em: http://www.scielo.br/pdf/reben/v70n5/pt_0034-7167-reben-70-05-0928.pdf

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2019 Array