Telehealth versus in-person delivery of an occupational therapy home visiting service: A cost analysis
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View abstract on PubMed
Summary
This summary is machine-generated.Telehealth occupational therapy home visits significantly reduce healthcare costs by 34%, saving $4 million. This approach lowers inpatient and emergency care use and travel expenses, offering a cost-effective alternative to in-person services.
Area Of Science
- Health Services Research
- Occupational Therapy
- Health Economics
Background
- Occupational therapy home visiting services support patients post-hospital discharge.
- Comparing telehealth and in-person modalities is crucial for understanding cost implications.
- Adverse events and their associated costs require consideration in service delivery.
Purpose Of The Study
- To compare the costs of occupational therapy home visiting services delivered via telehealth versus in-person.
- To quantify health-care system costs and identify cost savings between the two modalities.
- To analyze the cost implications of adverse events within each service delivery model.
Main Methods
- Retrospective cohort study of adult patients discharged from hospitals (2020-2022).
- Quantified health-care system costs for telehealth and in-person occupational therapy home visits.
- Included environmental assessments, equipment provision, and home modifications in cost analysis.
Main Results
- Telehealth resulted in a 34% cost reduction ($4 million savings) compared to in-person care.
- Savings attributed to fewer inpatient/emergency encounters and reduced patient travel.
- Telehealth was cost-saving for fall and delirium events but not for pressure injuries.
Conclusions
- Telehealth occupational therapy home assessments are more cost-effective than traditional in-person visits.
- Reduced hospitalizations and travel expenses drive telehealth cost savings.
- Telehealth may not be suitable for all conditions, such as pressure injuries, requiring careful patient selection.
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