Cristin-resultat-ID: 1133900
Sist endret: 30. oktober 2017 11:04
NVI-rapporteringsår: 2014
Resultat
Vitenskapelig oversiktsartikkel/review
2014

Effectiveness and Cost-Effectiveness of eHealth Interventions in Somatic Diseases: A Systematic Review of Systematic Reviews and Meta-Analyses

Bidragsytere:
  • Niels J Elbert
  • Harmieke van Os-Medendorp
  • Wilco van Renselaar
  • Anne G. Ekeland
  • Leona Hakkaart-van Roijen
  • Hein Raat
  • mfl.

Tidsskrift

Journal of Medical Internet Research
ISSN 1438-8871
e-ISSN 1438-8871
NVI-nivå 2

Om resultatet

Vitenskapelig oversiktsartikkel/review
Publiseringsår: 2014
Publisert online: 2014
Trykket: 2014
Volum: 16
Hefte: 4:e110
Open Access

Importkilder

Scopus-ID: 2-s2.0-84901431212

Beskrivelse Beskrivelse

Tittel

Effectiveness and Cost-Effectiveness of eHealth Interventions in Somatic Diseases: A Systematic Review of Systematic Reviews and Meta-Analyses

Sammendrag

Background: eHealth potentially enhances quality of care and may reduce health care costs. However, a review of systematic reviews published in 2010 concluded that high-quality evidence on the benefits of eHealth interventions was still lacking. Objective: We conducted a systematic review of systematic reviews and meta-analyses on the effectiveness/cost-effectiveness of eHealth interventions in patients with somatic diseases to analyze whether, and to what possible extent, the outcome of recent research supports or differs from previous conclusions. Methods: Literature searches were performed in PubMed, EMBASE, The Cochrane Library, and Scopus for systematic reviews and meta-analyses on eHealth interventions published between August 2009 and December 2012. Articles were screened for relevance based on preset inclusion and exclusion criteria. Citations of residual articles were screened for additional literature. Included papers were critically appraised using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement before data were extracted. Based on conclusions drawn by the authors of the included articles, reviews and meta-analyses were divided into 1 of 3 groups: suitable, promising, or limited evidence on effectiveness/cost-effectiveness. Cases of uncertainty were resolved by consensus discussion. Effect sizes were extracted from papers that included a meta-analysis. To compare our results with previous findings, a trend analysis was performed. Results: Our literature searches yielded 31 eligible reviews, of which 20 (65%) reported on costs. Seven papers (23%) concluded that eHealth is effective/cost-effective, 13 (42%) underlined that evidence is promising, and others found limited or inconsistent proof. Methodological quality of the included reviews and meta-analyses was generally considered high. Trend analysis showed a considerable accumulation of literature on eHealth. However, a similar percentage of papers concluded that eHealth is effective/cost-effective or evidence is at least promising (65% vs 62%). Reviews focusing primarily on children or family caregivers still remained scarce. Although a pooled (subgroup) analysis of aggregate data from randomized studies was performed in a higher percentage of more recently published reviews (45% vs 27%), data on economic outcome measures were less frequently reported (65% vs 85%). Conclusions: The number of reviews and meta-analyses on eHealth interventions in patients with somatic diseases has increased considerably in recent years. Most articles show eHealth is effective/cost-effective or at least suggest evidence is promising, which is consistent with previous findings. Although many researchers advocate larger, well-designed, controlled studies, we believe attention should be given to the development and evaluation of strategies to implement effective/cost-effective eHealth initiatives in daily practice, rather than to further strengthen current evidence

Bidragsytere

Niels J Elbert

  • Tilknyttet:
    Forfatter
    ved Erasmus Universiteit Rotterdam

Harmieke van Os-Medendorp

  • Tilknyttet:
    Forfatter
    ved Universitair Medisch Centrum Utrecht

Wilco van Renselaar

  • Tilknyttet:
    Forfatter
    ved Nederland

Anne Granstrøm Ekeland

Bidragsyterens navn vises på dette resultatet som Anne G. Ekeland
  • Tilknyttet:
    Forfatter
    ved Telemedisin og e-helse ved UiT Norges arktiske universitet
  • Tilknyttet:
    Forfatter
    ved Nasjonalt senter for e-helseforskning ved Universitetssykehuset Nord-Norge HF

Leona Hakkaart-van Roijen

  • Tilknyttet:
    Forfatter
    ved Erasmus Universiteit Rotterdam
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