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Updated: Sep 21, 2025
04:24
A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
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Home Telemonitoring Technology for Patients With Heart Failure: Cost-Consequence Analysis of a Pilot Study
Glory Apantaku1, Craig Mitton1, Hubert Wong1
1School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
JMIR Formative Research
|June 2, 2022
Summary
Home telemonitoring significantly reduced costs for heart failure patients. The TEC4Home platform demonstrated cost savings from both health system and societal perspectives during the 90-day post-discharge period.
Area of Science:
- Health Economics
- Digital Health
- Cardiology
Background:
- Heart failure (HF) affects 2-3% of the population in developed countries, increasing to 8% in those over 75.
- Home telemonitoring offers remote patient monitoring to enhance chronic HF care.
- The TEC4Home project evaluates a home monitoring protocol for HF patients transitioning from hospital to home.
Purpose of the Study:
- To assess the cost-effectiveness of the TEC4Home home monitoring platform compared to usual care for HF patients.
Main Methods:
- A cost-consequence analysis of the TEC4Home pilot study was performed.
- The analysis adopted a partial societal perspective, including direct and indirect healthcare costs.
- Costs related to healthcare utilization were tracked for 90 days post-discharge.
Main Results:
- The TEC4Home pilot study indicated significant cost savings per patient.
- From a health system perspective, costs decreased from CAD $2924 to $1293 (P=.01).
- From a partial societal perspective, costs decreased from CAD $2411 to $1108 (P=.01).
Conclusions:
- Economic analysis alongside feasibility studies offers valuable insights.
- The TEC4Home economic analysis informed patient questionnaire piloting and full clinical trial methodology.
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