The Health Economic Impact of Musculoskeletal Physiotherapy Delivered by Telehealth: A Systematic Review.

IF 2.5 Q1 REHABILITATION International Journal of Telerehabilitation Pub Date : 2022-12-13 eCollection Date: 2022-01-01 DOI:10.5195/ijt.2023.6524
Darryn Marks, Sarah Kitcher, Elodie Attrazic, Wayne Hing, Michelle Cottrell
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引用次数: 1

Abstract

Introduction: While the efficacy of telehealth in musculoskeletal physiotherapy has been supported, its cost effectiveness has not been established. Therefore, the objective of this review was to ascertain the health economic impact of outpatient musculoskeletal physiotherapy delivered by telehealth and describe methodology utilized to date.

Methods: Electronic searching of PubMed, CINHAL, PEDro, and Web of Science databases was undertaken alongside handsearching for publications comprising: population: adults with musculoskeletal disorders managed in any type of outpatient ambulatory setting; intervention: physiotherapy delivered by telehealth comparison: traditional in-person physiotherapy; and, outcomes: economic analyses reporting costs and consequences. Appraisal was undertaken with the Downs and Black Questionnaire and the Consolidated Health Economic Evaluation Reporting Standards Checklist.

Results: Eleven studies of mixed methodological quality were included. Most were conducted in the public sector, from the economic perspective of the health service funder. Telehealth consistently produced health outcomes akin to in-person care. In all but one, telehealth was less costly, with savings achieved by reducing in-person consultations and travel costs.

Conclusion: Telehealth is as effective and cheaper than in-person physiotherapy for musculoskeletal disorders in public hospital outpatients. Further health economic research is needed to clarify the economic impact of telehealth upon non-government providers of musculoskeletal physiotherapy.

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远程医疗提供的肌肉骨骼物理治疗的健康经济影响:系统综述。
导言:虽然远程医疗在肌肉骨骼物理治疗中的疗效得到了支持,但其成本效益尚未确定。因此,本综述的目的是确定远程医疗提供的门诊肌肉骨骼物理治疗的健康经济影响,并描述迄今为止使用的方法。方法:电子检索PubMed、CINHAL、PEDro和Web of Science数据库,同时手工检索出版物,包括:人群:在任何类型的门诊门诊环境中治疗的肌肉骨骼疾病的成年人;干预措施:远程医疗提供的物理治疗比较:传统的面对面物理治疗;结果:报告成本和后果的经济分析。评估采用唐斯和布莱克调查表和综合卫生经济评估报告标准清单进行。结果:纳入了11项方法学质量参差不齐的研究。从保健服务资助者的经济角度来看,大多数是在公共部门进行的。远程保健始终产生与面对面护理类似的健康结果。除了一个以外,所有国家的远程保健费用都较低,通过减少面对面咨询和旅行费用实现了节省。结论:对于公立医院门诊的肌肉骨骼疾病患者,远程医疗与面对面的物理治疗一样有效且便宜。需要进行进一步的卫生经济学研究,以澄清远程保健对非政府提供肌肉骨骼物理治疗的经济影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.60
自引率
6.10%
发文量
14
审稿时长
10 weeks
期刊最新文献
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