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<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">Cost-Utility and Cost-Effectiveness Studies of Telemedicine, Electronic, and Mobile Health Systems in the Literature: A Systematic Review</title>
<author>
<name sortKey="De La Torre Diez, Isabel" sort="De La Torre Diez, Isabel" uniqKey="De La Torre Diez I" first="Isabel" last="De La Torre-Díez">Isabel De La Torre-Díez</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="L Pez Coronado, Miguel" sort="L Pez Coronado, Miguel" uniqKey="L Pez Coronado M" first="Miguel" last="L Pez-Coronado">Miguel L Pez-Coronado</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Vaca, Cesar" sort="Vaca, Cesar" uniqKey="Vaca C" first="Cesar" last="Vaca">Cesar Vaca</name>
<affiliation>
<nlm:aff id="aff2"></nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="aff3"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Aguado, Jesus Saez" sort="Aguado, Jesus Saez" uniqKey="Aguado J" first="Jesús Saez" last="Aguado">Jesús Saez Aguado</name>
<affiliation>
<nlm:aff id="aff2"></nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="aff3"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="De Castro, Carlos" sort="De Castro, Carlos" uniqKey="De Castro C" first="Carlos" last="De Castro">Carlos De Castro</name>
<affiliation>
<nlm:aff id="aff4"></nlm:aff>
</affiliation>
</author>
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<idno type="wicri:source">PMC</idno>
<idno type="pmid">25474190</idno>
<idno type="pmc">4312789</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4312789</idno>
<idno type="RBID">PMC:4312789</idno>
<idno type="doi">10.1089/tmj.2014.0053</idno>
<date when="2015">2015</date>
<idno type="wicri:Area/Pmc/Corpus">000404</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000404</idno>
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<title xml:lang="en" level="a" type="main">Cost-Utility and Cost-Effectiveness Studies of Telemedicine, Electronic, and Mobile Health Systems in the Literature: A Systematic Review</title>
<author>
<name sortKey="De La Torre Diez, Isabel" sort="De La Torre Diez, Isabel" uniqKey="De La Torre Diez I" first="Isabel" last="De La Torre-Díez">Isabel De La Torre-Díez</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="L Pez Coronado, Miguel" sort="L Pez Coronado, Miguel" uniqKey="L Pez Coronado M" first="Miguel" last="L Pez-Coronado">Miguel L Pez-Coronado</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Vaca, Cesar" sort="Vaca, Cesar" uniqKey="Vaca C" first="Cesar" last="Vaca">Cesar Vaca</name>
<affiliation>
<nlm:aff id="aff2"></nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="aff3"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Aguado, Jesus Saez" sort="Aguado, Jesus Saez" uniqKey="Aguado J" first="Jesús Saez" last="Aguado">Jesús Saez Aguado</name>
<affiliation>
<nlm:aff id="aff2"></nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="aff3"></nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="De Castro, Carlos" sort="De Castro, Carlos" uniqKey="De Castro C" first="Carlos" last="De Castro">Carlos De Castro</name>
<affiliation>
<nlm:aff id="aff4"></nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Telemedicine Journal and e-Health</title>
<idno type="ISSN">1530-5627</idno>
<idno type="eISSN">1556-3669</idno>
<imprint>
<date when="2015">2015</date>
</imprint>
</series>
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<front>
<div type="abstract" xml:lang="en">
<title>Abstract</title>
<p>
<bold>
<italic>Objective:</italic>
</bold>
<italic>A systematic review of cost-utility and cost-effectiveness research works of telemedicine, electronic health (e-health), and mobile health (m-health) systems in the literature is presented.</italic>
<bold>
<italic>Materials and Methods:</italic>
</bold>
<italic>Academic databases and systems such as PubMed, Scopus, ISI Web of Science, and IEEE Xplore were searched, using different combinations of terms such as “cost-utility” OR “cost utility” AND “telemedicine,” “cost-effectiveness” OR “cost effectiveness” AND “mobile health,” etc. In the articles searched, there were no limitations in the publication date.</italic>
<bold>
<italic>Results:</italic>
</bold>
<italic>The search identified 35 relevant works. Many of the articles were reviews of different studies. Seventy-nine percent concerned the cost-effectiveness of telemedicine systems in different specialties such as teleophthalmology, telecardiology, teledermatology, etc. More articles were found between 2000 and 2013. Cost-utility studies were done only for telemedicine systems.</italic>
<bold>
<italic>Conclusions:</italic>
</bold>
<italic>There are few cost-utility and cost-effectiveness studies for e-health and m-health systems in the literature. Some cost-effectiveness studies demonstrate that telemedicine can reduce the costs, but not all. Among the main limitations of the economic evaluations of telemedicine systems are the lack of randomized control trials, small sample sizes, and the absence of quality data and appropriate measures.</italic>
</p>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Telemed J E Health</journal-id>
<journal-id journal-id-type="iso-abbrev">Telemed J E Health</journal-id>
<journal-id journal-id-type="publisher-id">tmj</journal-id>
<journal-title-group>
<journal-title>Telemedicine Journal and e-Health</journal-title>
</journal-title-group>
<issn pub-type="ppub">1530-5627</issn>
<issn pub-type="epub">1556-3669</issn>
<publisher>
<publisher-name>Mary Ann Liebert, Inc.</publisher-name>
<publisher-loc>140 Huguenot Street, 3rd FloorNew Rochelle, NY 10801USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">25474190</article-id>
<article-id pub-id-type="pmc">4312789</article-id>
<article-id pub-id-type="publisher-id">10.1089/tmj.2014.0053</article-id>
<article-id pub-id-type="doi">10.1089/tmj.2014.0053</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Research</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Cost-Utility and Cost-Effectiveness Studies of Telemedicine, Electronic, and Mobile Health Systems in the Literature: A Systematic Review</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>de la Torre-Díez</surname>
<given-names>Isabel</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>López-Coronado</surname>
<given-names>Miguel</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Vaca</surname>
<given-names>Cesar</given-names>
</name>
<degrees>MS</degrees>
<xref ref-type="aff" rid="aff2">
<sup>2,</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Aguado</surname>
<given-names>Jesús Saez</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff2">
<sup>2,</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>de Castro</surname>
<given-names>Carlos</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
<aff id="aff1">
<label>
<sup>1</sup>
</label>
Department of Signal Theory and Communications, and Telematics Engineering,
<institution>University of Valladolid</institution>
, Valladolid,
<country>Spain</country>
.</aff>
<aff id="aff2">
<label>
<sup>2</sup>
</label>
Department of Informatics,
<institution>University of Valladolid</institution>
, Valladolid,
<country>Spain</country>
.</aff>
<aff id="aff3">
<label>
<sup>3</sup>
</label>
Department of Statistics,
<institution>University of Valladolid</institution>
, Valladolid,
<country>Spain</country>
.</aff>
<aff id="aff4">
<label>
<sup>4</sup>
</label>
Department of Informatics and Numeric Analysis,
<institution>University of Cordoba</institution>
, Cordoba,
<country>Spain</country>
.</aff>
</contrib-group>
<author-notes>
<corresp>
<addr-line>Address correspondence to:</addr-line>
<addr-line>
<italic>Isabel de la Torre-Díez, PhD</italic>
</addr-line>
<addr-line>
<italic>Department of Signal Theory and Communications, and Telematics Engineering</italic>
</addr-line>
<institution>
<italic>University of Valladolid</italic>
</institution>
<addr-line>
<italic>Paseo de Belén, 15</italic>
</addr-line>
<addr-line>
<italic>47011 Valladolid</italic>
</addr-line>
<country>Spain</country>
<break></break>
<italic>E-mail:</italic>
<email xlink:href="mailto:isator@tel.uva.es">isator@tel.uva.es</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<day>01</day>
<month>2</month>
<year>2015</year>
<pmc-comment>string-date: February 2015</pmc-comment>
</pub-date>
<volume>21</volume>
<issue>2</issue>
<fpage>81</fpage>
<lpage>85</lpage>
<history>
<date date-type="received">
<day>13</day>
<month>3</month>
<year>2014</year>
<pmc-comment>string-date: Received: March 13, 2014</pmc-comment>
</date>
<date date-type="rev-recd">
<day>14</day>
<month>5</month>
<year>2014</year>
<pmc-comment>string-date: Revised: May 14, 2014</pmc-comment>
</date>
<date date-type="accepted">
<day>15</day>
<month>5</month>
<year>2014</year>
<pmc-comment>string-date: Accepted: May 15, 2014</pmc-comment>
</date>
</history>
<permissions>
<copyright-statement>Copyright 2015, Mary Ann Liebert, Inc.</copyright-statement>
<copyright-year>2015</copyright-year>
</permissions>
<self-uri content-type="pdf" xlink:type="simple" xlink:href="tmj.2014.0053.pdf"></self-uri>
<abstract>
<title>Abstract</title>
<p>
<bold>
<italic>Objective:</italic>
</bold>
<italic>A systematic review of cost-utility and cost-effectiveness research works of telemedicine, electronic health (e-health), and mobile health (m-health) systems in the literature is presented.</italic>
<bold>
<italic>Materials and Methods:</italic>
</bold>
<italic>Academic databases and systems such as PubMed, Scopus, ISI Web of Science, and IEEE Xplore were searched, using different combinations of terms such as “cost-utility” OR “cost utility” AND “telemedicine,” “cost-effectiveness” OR “cost effectiveness” AND “mobile health,” etc. In the articles searched, there were no limitations in the publication date.</italic>
<bold>
<italic>Results:</italic>
</bold>
<italic>The search identified 35 relevant works. Many of the articles were reviews of different studies. Seventy-nine percent concerned the cost-effectiveness of telemedicine systems in different specialties such as teleophthalmology, telecardiology, teledermatology, etc. More articles were found between 2000 and 2013. Cost-utility studies were done only for telemedicine systems.</italic>
<bold>
<italic>Conclusions:</italic>
</bold>
<italic>There are few cost-utility and cost-effectiveness studies for e-health and m-health systems in the literature. Some cost-effectiveness studies demonstrate that telemedicine can reduce the costs, but not all. Among the main limitations of the economic evaluations of telemedicine systems are the lack of randomized control trials, small sample sizes, and the absence of quality data and appropriate measures.</italic>
</p>
</abstract>
<kwd-group kwd-group-type="author">
<title>
<bold>Key words:</bold>
</title>
<kwd>
<italic>telemedicine</italic>
</kwd>
<kwd>
<italic>mobile health</italic>
</kwd>
<kwd>
<italic>e-health</italic>
</kwd>
<kwd>
<italic>business administration/economics</italic>
</kwd>
</kwd-group>
<counts>
<fig-count count="4"></fig-count>
<table-count count="1"></table-count>
<ref-count count="41"></ref-count>
<page-count count="5"></page-count>
</counts>
</article-meta>
</front>
</pmc>
</record>

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