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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
Statement of
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
Life Style
Social Support
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
Appears in Collections:Aurora harvest 7
General Practice publications

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