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A systematic review of economic analyses of home-based telerehabilitation
- Source :
- Disability and Rehabilitation. 44:8188-8200
- Publication Year :
- 2021
- Publisher :
- Informa UK Limited, 2021.
-
Abstract
- Telerehabilitation, or the delivery of rehabilitation using information and communication technologies, may improve timely and equitable access to rehabilitation services at home. A systematic literature review was conducted of studies that formally documented the costs and effects of home-based telerehabilitation versus in-person rehabilitation across all health conditions.Six electronic databases were searched from inception to 13 July 2021 (APA, PsycInfo, CINAHL, Embase, EmCare, Medline (Ovid), and PubMed) using a protocol developed by a medical librarian. A quality appraisal of full economic evaluation studies was conducted using the Drummond 10-point quality checklist.Thirty-five studies were included in this review covering various rehabilitation types and diverse populations. The majority were published in the last six years. Available evidence suggests that telerehabilitation may result in similar or lower costs as compared to in-person rehabilitation for the health care system and for patients. However, the impact of telerehabilitation on long-term clinical outcomes and health-related quality of life remains unclear.More high quality and robust economic evaluations exploring the short- and long-term costs and other impacts of telerehabilitation on patients, caregivers, and health care systems across all types of patient populations are still required.Implications for rehabilitationHome-based telerehabilitation may reduce barriers in access to care for individuals living in the community.Economic analyses can inform health care system decision-making by evaluating the costs and effects associated with telerehabilitation.This study found that telerehabilitation may result in similar or lower costs as in-person rehabilitation; however, its impact on health-related quality of life is unclear.
- Subjects :
- 03 medical and health sciences
0302 clinical medicine
020205 medical informatics
Cost-Benefit Analysis
Rehabilitation
Quality of Life
0202 electrical engineering, electronic engineering, information engineering
Humans
030212 general & internal medicine
02 engineering and technology
Telerehabilitation
Subjects
Details
- ISSN :
- 14645165 and 09638288
- Volume :
- 44
- Database :
- OpenAIRE
- Journal :
- Disability and Rehabilitation
- Accession number :
- edsair.doi.dedup.....49d968074f067a5d0debd7cdf7622149