Economic Evaluation of Digital Health Interventions in Palliative Care: A Systematic Review of the Literature

Introduction: Digital health interventions can facilitate the provision of palliative care. However, the economic evaluation of such interventions has not yet been a standard practice. The present study aimed to identify the existing literature on the particular subject.Methods: A systematic search...

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Main Authors: Panagiota Naoum (Author), Elpida Pavi (Author), Kostas Athanasakis (Author)
Format: Book
Published: Frontiers Media S.A., 2021-11-01T00:00:00Z.
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100 1 0 |a Panagiota Naoum  |e author 
700 1 0 |a Elpida Pavi  |e author 
700 1 0 |a Kostas Athanasakis  |e author 
245 0 0 |a Economic Evaluation of Digital Health Interventions in Palliative Care: A Systematic Review of the Literature 
260 |b Frontiers Media S.A.,   |c 2021-11-01T00:00:00Z. 
500 |a 2673-253X 
500 |a 10.3389/fdgth.2021.730755 
520 |a Introduction: Digital health interventions can facilitate the provision of palliative care. However, the economic evaluation of such interventions has not yet been a standard practice. The present study aimed to identify the existing literature on the particular subject.Methods: A systematic search was conducted in six literature databases between 2010 and 2021: PubMed, Scopus, DARE, NHS EED, Cochrane Database of Systematic Reviews, and Cochrane Central Register of Controlled Trials. Methodological quality was assessed with the Drummond Checklist.Results: The search identified 423 publications, 66 of which were removed as duplicates, resulting in 357 records to be screened by title and abstract. Ten studies were subjected to full-text review and 3 were included in the analysis. The interventions of these studies referred to video consultations and eHealth interventions for symptom management. Overall, the digital health interventions incurred lower costs compared with usual care or no intervention and were considered cost saving and cost-effective. The methodological quality of the studies was considered good.Conclusion: The results of this systematic review indicate that the use of digital health interventions has the potential to be cost-effective in palliative care. However, applicability and generalizability of the evidence is uncertain, mainly due to methodological heterogeneity and scarcity of research. 
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690 |a digital health 
690 |a economic evaluation 
690 |a costs and outcomes 
690 |a palliative care 
690 |a systematic review 
690 |a Medicine 
690 |a R 
690 |a Public aspects of medicine 
690 |a RA1-1270 
690 |a Electronic computers. Computer science 
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