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This review found limited economic evaluations for eHealth technologies in older adults. Further research is needed to confirm the long-term cost-effectiveness of these digital health innovations.

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Area of Science:

  • Gerontology
  • Health Economics
  • Digital Health

Background:

  • eHealth technologies offer potential for older adults to live independently.
  • These innovations may reduce health system dependency and healthcare expenditure.
  • This study focuses on the cost-effectiveness of eHealth for the elderly population.

Purpose of the Study:

  • To systematically review and appraise cost-effectiveness or utility studies of eHealth technologies.
  • To assess studies involving older adults as the primary study population.

Main Methods:

  • Systematic search of multiple databases (MEDLINE, EMBASE, CINAHL, NHS EED, PsycINFO) from 2000-2016.
  • Inclusion of peer-reviewed studies in English examining cost-effectiveness or utility of eHealth.
  • Appraisal of reporting quality using the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) statement.

Main Results:

  • Eleven full-text articles met inclusion criteria, covering diverse eHealth technologies (e.g., telecare, telehealth, web-based interventions).
  • Reporting quality of included studies was varied.
  • Most studies demonstrated efficacy and cost-effectiveness, often using randomized controlled trials and statistical modeling, but feasibility data was limited.

Conclusions:

  • Few economic evaluations of eHealth technologies for older adults were identified.
  • The current evidence base for cost-effectiveness is limited.
  • Further research is crucial to demonstrate long-term cost-effectiveness from healthcare system and societal perspectives.