[Economic evaluation of telehomecare in chronic lung diseases]

Clin Ter. 2011;162(2):e43-9.
[Article in Italian]

Abstract

Objectives: We attempted to quantify the cost-effectiveness ratio in telemonitoring lung function of patients affected by Cystic Fibrosis (CF).

Materials and methods: We examined the costs of Telehomecare (THC) in the follow-up of CF patients. We considered the failed hospitalizations as incomes. A standardized questionnaire was submitted by e-mail to verify the patient satisfaction and expectation levels. We studied 3 groups of patients: a) 17 CF patients in THC; b) 28 CF patients not followed by THC and c) 28 non-CF patients affected by chronic diseases and not followed by THC. Some parameters with no market value were evaluated using "willingness to pay" (WTP).

Results: An annual saving of €.5241 was calculated for single FC patient followed by THC. The WTP analysis showed that patients affected by chronic diseases expected very much from new technologies.

Conclusions: The THC use in CF shows several advantages as fewer hospitalization and economical saving in a general trend of limited economical resources. Further studies are needed to confirm our data.

Publication types

  • English Abstract

MeSH terms

  • Chronic Disease
  • Cost-Benefit Analysis
  • Home Care Services / economics*
  • Humans
  • Lung Diseases / economics*
  • Lung Diseases / therapy*
  • Surveys and Questionnaires
  • Telemedicine / economics*