Accepted for/Published in: JMIR Formative Research
Date Submitted: Jul 15, 2021
Open Peer Review Period: Jul 15, 2021 - Sep 9, 2021
Date Accepted: Mar 14, 2022
(closed for review but you can still tweet)
Home telemonitoring technology for heart failure patients; a cost-consequence analysis of a pilot study
ABSTRACT
Background:
Heart failure (HF) is a costly health condition and a major public health problem. It is estimated that 2%-3% of the population in developed countries has heart failure, and the prevalence increases to 8% among patients 75 years and above.10 Home telemonitoring is a form of non-invasive, remote patient monitoring that aims to improve the care and management of patients with chronic HF.1 Telehealth for Emergency-Community Continuity of Care Connectivity via Home-Telemonitoring (TEC4Home) is a project that implements and evaluates a comprehensive home monitoring protocol designed to support seniors with Heart Failure as they transition from the ED to home.2
Objective:
The aim of this study is to assess the cost of the home monitoring platform relative to usual care and further track costs related to all utilization during the 90-day post-discharge period.
Methods:
This study is a cost-consequence analysis of the TEC4home pilot study. The analysis was conducted from a partial-societal perspective, including direct and indirect healthcare costs. The aim is to assess the costs of the home monitoring platform relative to usual care and track costs related to healthcare utilization during the 90-day post-discharge period.
Results:
Economic analysis of the TEC4home pilot study showed a positive trend in cost savings for patients using TEC4home and helped inform the full clinical trial.
Conclusions:
In line with the advantages of conducting an economic analysis alongside a feasibility study, the economic analysis of the TEC4home pilot study facilitated the piloting of patient questionnaires and it has also informed the methodology for the full clinical trial which is currently underway in BC.
Citation
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Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.