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Updated: May 16, 2026
07:40
Multi-Modal Home Sleep Monitoring in Older Adults
Published on: January 26, 2019
EPOCA Tele-Monitoring System for Older Adults at High Risk of Hospitalization: Budget Impact and Cost-Effectiveness
Henri Leleu1, Damien Testa2, Mireille Dutech2
1Public Health Expertise, 10 boulevard de Sébastopol, Paris, 75004, France, 33 1 85 09 09 49.
Journal of Medical Internet Research
|May 14, 2026
Summary
The EPOCA remote monitoring system significantly reduced hospitalizations and emergency visits in older adults with chronic conditions. This cost-effective strategy offers savings and improved outcomes, supporting its integration into French healthcare.
Area of Science:
- Gerontology
- Health Economics
- Medical Technology
Background:
- France's aging population experiences high chronic illness and hospitalization rates, straining healthcare.
- Remote monitoring shows potential for improved care coordination and reduced acute care utilization.
Purpose of the Study:
- To evaluate the cost-effectiveness of the EPOCA remote monitoring system for elderly individuals with multiple chronic conditions.
- Comparison against the standard of care within the Vigie-Age framework.
Main Methods:
- A 10-year cost-utility analysis using a Markov model with daily cycles.
- Simulated health states including home, emergency visits, hospitalization, and death.
- Analyzed data from the Vigie-Age Article 51 pilot study (722 participants).
Main Results:
- EPOCA reduced emergency visits by 54% and hospitalizations by 46%.
- Average hospital stay decreased from 55.6 to 30.6 days.
- EPOCA resulted in cost savings of €10,764 (collective) and €7,430 (NHI) per patient, yielding 0.04 additional QALYs.
Conclusions:
- EPOCA presents a cost-effective strategy for high-risk older patients, reducing healthcare utilization and improving outcomes.
- Supports integration into national care pathways and reimbursement by French National Health Insurance (NHI).
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