Literature DB >> 33354321

Cost analysis of implementing a telegeriatrics ecosystem with nursing homes: panel data analysis.

James Alvin Low1,2,3, Toh Hui Jin1,2, Laurence Tan Lean Chin1,2,3, Neha Agarwal4, Goh Kim Huat4, Adrian Yeow5, Christina Soh4.   

Abstract

Our study analyzed the economicimpact of a telegeriatrics programme on care of nursing homeresidents, from the healthcare system provider's perspective. Thisis a retrospective, archival data analysis of multiple data sourcesin 4 nursing homes of Singapore from 2010 to 2015. Individualsadmitted to nursing homes and have undergone telemedicineconsultations (N=859) from 2010 to 2015 were recruited. Weconducted a cost analysis of the programme by reviewing pasthospital admissions' and specialist outpatient clinic (SOC) visits'billing records, nurse training records, and key performanceindicators' reports. A significant relationship was observed betweenteleconsultations and SOC visit cost (β1 = -83.366, p-value<0.01) and between teleconsultations and inpatient cost (β1 =-470.971, p-value <0.05). Remote video consultations could reduceunnecessary SOC visits and hospital admissions, and thereforelead to cost savings. Training of nursing home nurses couldtranslate to cost savings as a result of decreased ED transfers.
© 2019 Operational Research Society.

Entities:  

Keywords:  Telehealth; health IT economics; health IT quality and evaluation

Year:  2019        PMID： 33354321      PMCID： PMC7738307          DOI： 10.1080/20476965.2019.1589390

Source DB:  PubMed          Journal:  Health Syst (Basingstoke)        ISSN： 2047-6965


  10 in total

1.  Telemedicine use and the reduction of psychiatric admissions from a long-term care facility.

Authors:  C G Lyketsos; C Roques; L Hovanec; B N Jones
Journal:  J Geriatr Psychiatry Neurol       Date:  2001       Impact factor: 2.680

Review 2.  Systematic review of studies of the cost-effectiveness of telemedicine and telecare. Changes in the economic evidence over twenty years.

Authors:  Hema Mistry
Journal:  J Telemed Telecare       Date:  2011-11-18       Impact factor: 6.184

3.  Five priority areas for research on long-term care.

Authors:  R H Binstock; W D Spector
Journal:  Health Serv Res       Date:  1997-12       Impact factor: 3.402

4.  Implementation of Telemedicine Consultation to Assess Unplanned Transfers in Rural Long-Term Care Facilities, 2012-2015: A Pilot Study.

Authors:  Joshua Hofmeyer; Jonathon P Leider; Jennifer Satorius; Erin Tanenbaum; David Basel; Alana Knudson
Journal:  J Am Med Dir Assoc       Date:  2016-07-28       Impact factor: 4.669

Review 5.  Telemedicine in practice.

Authors:  J H Thrall; G Boland
Journal:  Semin Nucl Med       Date:  1998-04       Impact factor: 4.446

6.  Nursing Home Provider Perceptions of Telemedicine for Reducing Potentially Avoidable Hospitalizations.

Authors:  Julia Driessen; Andro Bonhomme; Woody Chang; David A Nace; Dio Kavalieratos; Subashan Perera; Steven M Handler
Journal:  J Am Med Dir Assoc       Date:  2016-03-09       Impact factor: 4.669

7.  Cost effectiveness of telehealth for patients with long term conditions (Whole Systems Demonstrator telehealth questionnaire study): nested economic evaluation in a pragmatic, cluster randomised controlled trial.

Authors:  Catherine Henderson; Martin Knapp; José-Luis Fernández; Jennifer Beecham; Shashivadan P Hirani; Martin Cartwright; Lorna Rixon; Michelle Beynon; Anne Rogers; Peter Bower; Helen Doll; Ray Fitzpatrick; Adam Steventon; Martin Bardsley; Jane Hendy; Stanton P Newman
Journal:  BMJ       Date:  2013-03-20

8.  Cost-effectiveness of telehealth for patients with depression: evidence from the Healthlines randomised controlled trial.

Authors:  Padraig Dixon; Sandra Hollinghurst; Louisa Edwards; Clare Thomas; Alexis Foster; Ben Davies; Daisy Gaunt; Alan A Montgomery; Chris Salisbury
Journal:  BJPsych Open       Date:  2016-08-09

Review 9.  Videoconferencing for Health Care Provision for Older Adults in Care Homes: A Review of the Research Evidence.

Authors:  Louise Newbould; Gail Mountain; Mark S Hawley; Steven Ariss
Journal:  Int J Telemed Appl       Date:  2017-09-10

10.  Comparative and cost effectiveness of telemedicine versus telephone counseling for smoking cessation.

Authors:  Kimber P Richter; Theresa I Shireman; Edward F Ellerbeck; A Paula Cupertino; Delwyn Catley; Lisa Sanderson Cox; Kristopher J Preacher; Ryan Spaulding; Laura M Mussulman; Niaman Nazir; Jamie J Hunt; Leah Lambart
Journal:  J Med Internet Res       Date:  2015-05-08       Impact factor: 5.428
  10 in total
  2 in total

1.  Letter to the editor: Staying True to the Calling of Geriatric Medicine Amid the Waves of COVID-19.

Authors:  C Y Cheong; P L K Yap
Journal:  J Nutr Health Aging       Date:  2020       Impact factor: 4.075

Review 2.  Nursing Home-Sensitive Hospitalizations and the Relevance of Telemedicine: A Scoping Review.

Authors:  Maria Paula Valk-Draad; Sabine Bohnet-Joschko
Journal:  Int J Environ Res Public Health       Date:  2022-10-10       Impact factor: 4.614
  2 in total

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