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Table 1 Summary of Economic Analyses

From: A systematic review of economic analyses of telehealth services using real time video communication

Article

Service Setting

Clinical Discipline

Study Type

Ec Analysis Type & Quality Score

Technology & Connectivity

Perspective

Cost Outcomes

Telehealth outcome vs usual care

Ruskin 2004[51]

Rural outpatient

Psychiatry

RCT

CMA 84

Computer,

ISDN

Health service

More

Same

Modai 2006[72]

Rural outpatient

Psychiatry

ProspCC

CCA 45

Not specified, ISDN

Health service

More

Same

O'Reilly 2007[73]

Rural outpatient

Psychiatry

RCT

CMA 54

VC, ISDN

Health service

Less

Same

Shore 2007[29]

Rural outpatient

Psychiatry

DiagAcc

CMA 57

VC, ISDN

Health service

Mixed1

Same

Crow 2009[35]

Rural outpatient

Psychology

RCT

CEA 77

Not specified, T1 line

Societal

Less (HS less)

Less2

Persaud 2005[53]

Rural outpatient

Psychiatry & dermatology

RetCoh

CMA 46

Not specified, 384 kbits/sec

Societal

Less (HS more)

Same

Oakley 2000[74]

Rural outpatient

Dermatology

RCT

CCA 15

Computer, ISDN

Patient

Less

Same

Loane 2001a[32]

Rural outpatient

Dermatology

RCT

CMA 70

Computer, ISDN

Societal

Less (HS more)

Same

Loane 2001b[59]

Rural outpatient

Dermatology

RCT

CMA 40

VC, ISDN

Health service

More

Same

Chua 2001[36]

Rural outpatient

Neurology

RCT

CCA 25

VC, ISDN

Health service

More

Less

Bergmo 1997[52]

Rural outpatient

Ear nose & throat

RetCoh

CMA 68

VC, ISDN

Societal

Less (HS less)

Same

Ohinmaa 2002[33]

Rural outpatient

Orthopaedics

RCT

CMA 71

VC, ISDN

Societal

Less (HS more)

Same

Bishai 2003[62]

Rural outpatient

Gynaecology

DiagAcc

CCA 84

VC, T1 line

Societal

More

More

Pronovost 2009[31]

Rural outpatient

Pain management

RCT

CMA 93

VC, broadband

Societal

Less (HS more)

Same

Johnston 2000[39]

Home care

Nursing

RCT

CCA 19

Not specified

Not specified

Health service

Less

Same

Smith 2002[42]

Home care

Nursing(CPAP)

DiagAcc

CMA 25

Custom, PSTN

Health service

Less

Same

Bohnenkamp 2004[41]

Home care

Nursing

NRT

CCA 35

TV, PSTN

Health service

Same

More

Finkelstein 2006[38]

Home care

Nursing

RCT

CCA 67

TV, PSTN

Health service

Less

More

Chan 2000[58]

Residential care

Dermatology

DiagAcc

CCA 32

VC, ISDN

Health service

Less

Less3

DeMaio 2001[43]

Home care

Infectious diseases

B&A

CMA 15

Vphone, ISDN

Health service

Less

Same

Jerant 2001[37]

Home care

Cardiology

RCT

CCA 67

Not specified PSTN

Health service

Less

More

Eron 2006[40]

Home care

Internal medicine

ProspCC

CCA 67

Not specified PSTN

Health service

Less

More

Rendina 1997[75]

Rural inpatient

Paediatric Cardiol

B&A

CBA 56

VC, T1 line

Health service

Less

Same

Sable 1999[55]

Rural inpatient

Paediatric Cardiol

DiagAcc

CBA 27

Computer ISDN

Health service

Less

More

Sicotte 2004[56]

Rural inpatient

Paediatric Cardiol

DiagAcc

CEA 63

VC, ISDN

Health service

More

More

Dowie 2007[71]

Rural inpatient

Paediatric Cardiol

ProspCoh

CCA 85

VC, ISDN

Societal

Mixed4 (HS more)

More

Ehlers 2008[76]

Rural inpatient

Neurology

EcModel

CUA 65

Computer, Not specified

Societal

Less (HS more)

More

Wong 2006[64]

Rural inpatient

Neurosurgery

RCT

CCA 64

VC, ISDN

Health service

More

Same

Noble 2005[61]

Rural inpatient

Emerg med

RCT

CCA 60

Not spec, ISDN

Societal

More

Same

Duchesne 2008[57]

Rural inpatient

Emerg med

B&A

CCA 34

VC, T1 line

Health service

Less

More

Kunkler 2007[60]

Rural inpatient

Oncology

RCT

CMA 64

VC, ISDN

Health service

Less

Same

Loane 2000[45]

Hosp to PCare

Dermatology

RCT

CMA 54

VC, ISDN

Health service

More

Same

Wootton 2000[46]

Hosp to PCare

Dermatology

RCT

CCA 81

VC, ISDN

Societal

More

Same

Jacklin 2003[47]

Hosp to PCare

General practice

RCT

CCA 92

Computer, ISDN

Societal

More

Same

Rosenfeld 2000[50]

Specialist on-call

Intensive Care

B&A

CCA 80

Computer, Not specified

Health service

Less

More

Breslow 2004[49]

Specialist on-call

Intensive Care

B&A

CCA 53

VC, T1 line

Health service

Less

More

  1. B&A = before and after study, DiagAcc = diagnostic accuracy study, EcModel = economic modelling, NRT = non-random trial, ProspCC = prospective case control, ProspCoh = prospective cohort, RCT = randomised controlled trial, RetCoh = retrospective cohort study
  2. ISDN = Integrated Services Digital Network, VC = videoconferencing, Vphone = videophone, Hosp to PCare = Hospital outpatients clinic to local health centre
  3. CMA cost-miminisation analysis, CCA cost-consequences analysis, CBA cost-benefit analysis, CEA cost-effectiveness analysis
  4. 1. Cost more in 2003, and less in 2005
  5. 2. Less effective, but increased patient access to services
  6. 3. Worse diagnostic accuracy, but increased patient access to services
  7. 4. Cost less for neonates, more for other patient groups