Universität zu Köln

Piera-Jimenez, Jordi, Daugbjerg, Signe, Stafylas, Panagiotis, Meyer, Ingo, Mueller, Sonja, Lewis, Leo, Col, Paolo, Folkvord, Frans ORCID: 0000-0001-7602-3792 and Lupianez-Villanueva, Francisco ORCID: 0000-0001-5361-7678 (2020). BeyondSilos, a Telehealth-Enhanced Integrated Care Model in the Domiciliary Setting for Older Patients: Observational Prospective Cohort Study for Effectiveness and Cost-Effectiveness Assessments. JMIR Med. Inf., 8 (10). TORONTO: JMIR PUBLICATIONS, INC. ISSN 2291-9694

Full text not available from this repository.

Abstract

Background: Information and communication technology may provide domiciliary care programs with continuity of care. However, evidence about the effectiveness and cost-effectiveness of information and communication technology in the context of integrated care models is relatively scarce. Objective: The objective of our study was to provide evidence on the clinical effectiveness and cost-effectiveness of the BeyondSilos project for patients enrolled in the Badalona city pilot site in Spain. Methods: A quasi-experimental study was used to assess the cost-effectiveness of information and communication technology-enhanced integration of health and social care, including the third sector (intervention), compared to basic health and social care coordination (comparator). The study was conducted in Badalona between 2015 and 2016. Participants were followed for 8 months. Results: The study included 198 patients: 98 in the intervention group and 100 in the comparator group. The mean Barthel index remained unchanged in the intervention group (mean change 0.14, 95% CI -4.51 to 4.78; P=.95) but decreased in the comparator group (mean change -3.23, 95% CI -5.34 to -1.11; P=.003). Instrumental Activities of Daily Living significantly decreased in both groups: mean changes of -0.23 (95% CI -0.44 to -0.02; P=.03) and -0.33 (95% CI -0.46 to -0.20; P<.001) in the intervention and comparator groups, respectively. No differences were found in the Geriatric Depression Scale (intervention: mean change 0.28, 95% CI -0.44 to 1.01, P=.44; comparator: mean change -0.29, 95% CI -0.59 to 0.01, P=.06). The intervention showed cost-effectiveness (incremental cost-effectiveness ratio (sic)6505.52, approximately US $7582). Conclusions: The information and communication technology-enhanced integrated domiciliary care program was cost-effective. The beneficial effects of this approach strongly rely upon the commitment of the professional staff involved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Piera-Jimenez, Jordi UNSPECIFIED UNSPECIFIED UNSPECIFIED Daugbjerg, Signe UNSPECIFIED UNSPECIFIED UNSPECIFIED Stafylas, Panagiotis UNSPECIFIED UNSPECIFIED UNSPECIFIED Meyer, Ingo UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Sonja UNSPECIFIED UNSPECIFIED UNSPECIFIED Lewis, Leo UNSPECIFIED UNSPECIFIED UNSPECIFIED Col, Paolo UNSPECIFIED UNSPECIFIED UNSPECIFIED Folkvord, Frans UNSPECIFIED orcid.org/0000-0001-7602-3792 UNSPECIFIED Lupianez-Villanueva, Francisco UNSPECIFIED orcid.org/0000-0001-5361-7678 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-316038
DOI:	10.2196/20938
Journal or Publication Title:	JMIR Med. Inf.
Volume:	8
Number:	10
Date:	2020
Publisher:	JMIR PUBLICATIONS, INC
Place of Publication:	TORONTO
ISSN:	2291-9694
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language HOME; PROGRAM; TECHNOLOGIES; MANAGEMENT; CRISES Multiple languages Medical Informatics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/31603