Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-26777
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dc.contributor.authorBanning, Stefan-
dc.contributor.authorHöglinger, Marc-
dc.contributor.authorMeyer, Delia-
dc.contributor.authorReich, Oliver-
dc.date.accessioned2023-02-06T10:28:45Z-
dc.date.available2023-02-06T10:28:45Z-
dc.date.issued2022-
dc.identifier.issn1530-5627de_CH
dc.identifier.issn1556-3669de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/26777-
dc.description.abstractBackground: Telemedicine health insurance models are highly prevalent in the Swiss health care system. Nevertheless, the potential of telemedicine is only partly being achieved, since current telemedicine health insurance models are limited to an initial contact by telephone and a gatekeeper role that organizes access to health care providers such as general practitioners, specialists, or hospitals. Against this background, a telemedicine device with diverse visual and auscultatory examination functions was made available to 2,000 telemedicine-insured clients. This device allowed diagnostic information to be sent to a medical care provider and used for telemedical consultation. Objective: To determine whether the additional implementation of a multifunctional telemedicine examination device resulted in fewer physical consultations, reduced service utilization, and lower health care expenditures among telemedicine-insured clients. Methods: Our analysis is based on claims data from 135,636 clients insured in a telemedicine call center model covering the years 2019 and 2020. We compare the use of health care and health care costs of clients who received a telemedicine device with those without such a device, using multivariable regression to adjust for group differences due to self-selection. Results: We found lower total health care expenditures of -229 (Swiss Francs) and lower inpatient costs of -160 (Swiss Francs) on the part of clients with the telemedicine device. However, the implementation of the telemedicine device did not lead to a statistically significant reduction in service utilization. Conclusions: The treatment of telemedicine-insured clients was on average more cost-effective when they received the multifunctional telemedicine device. Accordingly, complementing the existing telemedicine model with telemedicine devices that allow for improved telemedical consultations has the potential to increase the cost-saving potential of the existing telemedicine call center models.de_CH
dc.language.isoende_CH
dc.publisherMary Ann Liebertde_CH
dc.relation.ispartofTelemedicine and e-Healthde_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectDigital healthde_CH
dc.subjectE-healthde_CH
dc.subjectHealth care expenditurede_CH
dc.subjectManaged carede_CH
dc.subjectDigitalisierungde_CH
dc.subjectGesundheitswesende_CH
dc.subjectÖkonomiede_CH
dc.subject.ddc362.1041: Gesundheitsökonomiede_CH
dc.titleEvaluation of the effect of a multifunctional telemedicine device on healthcare use and costs : a nonrandomized pragmatic trialde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementSchool of Management and Lawde_CH
zhaw.organisationalunitWinterthurer Institut für Gesundheitsökonomie (WIG)de_CH
dc.identifier.doi10.1089/tmj.2022.0166de_CH
dc.identifier.doi10.21256/zhaw-26777-
dc.identifier.pmid36037076de_CH
zhaw.funding.euNode_CH
zhaw.issue4de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end517de_CH
zhaw.pages.start510de_CH
zhaw.publication.statusacceptedVersionde_CH
zhaw.volume29de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.webfeedW: Spitzenpublikationde_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
Appears in collections:Publikationen School of Management and Law

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Banning, S., Höglinger, M., Meyer, D., & Reich, O. (2022). Evaluation of the effect of a multifunctional telemedicine device on healthcare use and costs : a nonrandomized pragmatic trial. Telemedicine and E-Health, 29(4), 510–517. https://doi.org/10.1089/tmj.2022.0166
Banning, S. et al. (2022) ‘Evaluation of the effect of a multifunctional telemedicine device on healthcare use and costs : a nonrandomized pragmatic trial’, Telemedicine and e-Health, 29(4), pp. 510–517. Available at: https://doi.org/10.1089/tmj.2022.0166.
S. Banning, M. Höglinger, D. Meyer, and O. Reich, “Evaluation of the effect of a multifunctional telemedicine device on healthcare use and costs : a nonrandomized pragmatic trial,” Telemedicine and e-Health, vol. 29, no. 4, pp. 510–517, 2022, doi: 10.1089/tmj.2022.0166.
BANNING, Stefan, Marc HÖGLINGER, Delia MEYER und Oliver REICH, 2022. Evaluation of the effect of a multifunctional telemedicine device on healthcare use and costs : a nonrandomized pragmatic trial. Telemedicine and e-Health. 2022. Bd. 29, Nr. 4, S. 510–517. DOI 10.1089/tmj.2022.0166
Banning, Stefan, Marc Höglinger, Delia Meyer, and Oliver Reich. 2022. “Evaluation of the Effect of a Multifunctional Telemedicine Device on Healthcare Use and Costs : A Nonrandomized Pragmatic Trial.” Telemedicine and E-Health 29 (4): 510–17. https://doi.org/10.1089/tmj.2022.0166.
Banning, Stefan, et al. “Evaluation of the Effect of a Multifunctional Telemedicine Device on Healthcare Use and Costs : A Nonrandomized Pragmatic Trial.” Telemedicine and E-Health, vol. 29, no. 4, 2022, pp. 510–17, https://doi.org/10.1089/tmj.2022.0166.


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