Health-economic evaluation of home telemonitoring for COPD in Germany: evidence from a large population-based cohort

Dmitrij Achelrod (), Jonas Schreyögg and Tom Stargardt ()
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Dmitrij Achelrod: Universität Hamburg

The European Journal of Health Economics, 2017, vol. 18, issue 7, No 6, 869-882

Abstract: Abstract Introduction Telemonitoring for COPD has gained much attention thanks to its potential of reducing morbidity and mortality, healthcare utilisation and costs. However, its benefit with regard to clinical and economic outcomes remains to be clearly demonstrated. Objective To analyse the effect of Europe’s largest COPD telemonitoring pilot project on direct medical costs, health resource utilisation and mortality at 12 months. Methods We evaluated a population-based cohort using administrative data. Difference-in-difference estimators were calculated to account for time-invariant unobservable heterogeneity after removing dissimilarities in observable characteristics between the telemonitoring and control group with a reweighting algorithm. Results The analysis comprised 651 telemonitoring participants and 7047 individuals in the standard care group. The mortality hazards ratio was lower in the intervention arm (HR 0.51, 95 % CI 0.30–0.86). Telemonitoring cut total costs by 895 € (p

Keywords: Telemonitoring; COPD; Cost-effectiveness; Administrative data (search for similar items in EconPapers)
JEL-codes: H51 I18 (search for similar items in EconPapers)
Date: 2017
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DOI: 10.1007/s10198-016-0834-x

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