| Economic studies and 'technical' evaluation of telemedicine: the case of telemonitored polysomnography. | |
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MedLine Citation:
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PMID: 10827296 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Information and communication technology (ICT) is not yet integrated into current medical practice and frequently, organizational patterns of health care production are held responsible for this situation. However, and quite paradoxically, measures recently taken in France indicate that a preferential role is granted to ICT in order to promote the development of healthcare networks. In this context, one should carefully examine which factors, other than organizational ones, can explain the very slow diffusion of telemedicine. Actually, medical assessment of telemedicine is very seldom and the medical community is unable to appreciate the extent that this technology would modify the quality of care provided. Furthermore, and as a consequence of the former, there is no economic evaluation of telemedicine applications and its effects, in terms of productivity, remain virtual. In this article, based on an early evaluation of telemonitored polysomnography to diagnose sleep apnea syndrome, we show that it is possible, even at an experimental stage, to produce appropriate and convincing clinical results stating the true technological effectiveness (choice of an adequate clinical trial, selection of appropriate endpoints). Specific attention is given to the technical conditions in which the technology is assessed, we also provide most of the data that should be taken into account to foresee the major organizational transformations of the production processes. Our results show that early clinical ad hoc evaluations of telemedicine applications can be conducted promptly, providing strong clinical results and useful data for any forthcoming economic evaluation. |
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Authors:
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N Pelletier-Fleury; J L Lanoé; C Philippe; F Gagnadoux; D Rakotonanahary; B Fleury |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Health policy (Amsterdam, Netherlands) Volume: 49 ISSN: 0168-8510 ISO Abbreviation: Health Policy Publication Date: 1999 Nov |
Date Detail:
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Created Date: 2000-08-25 Completed Date: 2000-08-25 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8409431 Medline TA: Health Policy Country: IRELAND |
Other Details:
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Languages: eng Pagination: 179-94 Citation Subset: H |
Affiliation:
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INSERM U357, Centre de Recherches en Economie de la Santé, 80 rue du Général Leclerc, 94276, Le Kremlin Bicêtre, France. fleury@kb.inserm.fr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Diffusion of Innovation Female Humans Male Medical Informatics Applications Middle Aged Polysomnography / economics*, instrumentation Prospective Studies Sleep Apnea Syndromes / diagnosis*, physiopathology Technology Assessment, Biomedical / economics, methods* Telemedicine / economics* |
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