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https://hdl.handle.net/2440/96719
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Type: | Journal article |
Title: | The costs and benefits of technology-enabled, home-based cardiac rehabilitation measured in a randomised controlled trial |
Author: | Whittaker, F. Wade, V. |
Citation: | Journal of Telemedicine and Telecare, 2014; 20(7):419-422 |
Publisher: | SAGE Publications |
Issue Date: | 2014 |
ISSN: | 1357-633X 1758-1109 |
Statement of Responsibility: | Frank Whittaker and Victoria Wade |
Abstract: | We conducted a cost benefit analysis of a home telehealth-based cardiac rehabilitation programme compared to the standard hospital-based programme. A total of 120 participants were enrolled in a trial, with 60 randomised to the telehealth group and 60 randomised to usual care. Participants in the telehealth group received a mobile phone, Wellness Diary and a Wellness web portal, with daily text messaging. Participants in the usual care group received the standard 6-week hospital-based outpatient cardiac rehabilitation programme, including gym sessions. The cost of delivery by telehealth was slightly lower than for patients attending a rehabilitation service in person. From the provider’s perspective, the telehealth intervention could be delivered for $1633 per patient, compared to $1845 for the usual care group. From the participant’s perspective, patient travel costs for home rehabilitation were substantially less than for hospital attendance ($80 vs $400). Cardiac rehabilitation by telehealth offers obvious advantages and the option should be available to all patients who are eligible for cardiac rehabilitation. |
Keywords: | Humans Cardiovascular Diseases Exercise Life Style Telemedicine Social Support Aged Home Care Services Cost-Benefit Analysis Health Care Costs Health Services Accessibility Patient Acceptance of Health Care Cardiac Rehabilitation Cell Phone |
Rights: | © The Author(s) 2014 |
DOI: | 10.1177/1357633X14552376 |
Published version: | http://dx.doi.org/10.1177/1357633x14552376 |
Appears in Collections: | Aurora harvest 7 General Practice publications |
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