Evaluation of the Efficiency of Telemedicine in the Management of Cardiovascular Diseases in Primary Healthcare in Sub-Saharan Africa: A Medico-Economic Study in Cameroon.

Autor:	Bediang G; Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon., Nganou-Gnindjio CN; Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon., Kamga Y; Department for the Control of Disease, Epidemics and Pandemics, Ministry of Public Health, Cameroon., Ndongo JS; Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon., Goethe Doualla FC; Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon., Bagayoko CO; Faculté de Médecine, de Pharmacie et d'Odonto-Stomatologie, University of Bamako, Mali., Nko'o S; Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon.
Jazyk:	angličtina
Zdroj:	Studies in health technology and informatics [Stud Health Technol Inform] 2022 May 25; Vol. 294, pp. 910-914.
DOI:	10.3233/SHTI220623
Abstrakt:	Objective: To assess the efficiency of tele-expertise (tele-ECG) for patients and for health facilities in managing patients with cardiovascular diseases (CVDs) in primary health care in Cameroon. Method: This study was a medico-economic study combining two approaches: cost minimization and cost-effectiveness analysis. It was conducted alongside the previous published controlled multicenter study carried out in Cameroon's two health facilities where tele-ECG has been implemented (intervention centres) and two other where telemedicine has been not implemented (control centres). Results: The average total cost for patients was 9 286 F CFA (US$: 16) in the intervention centres compared to 28 357 F CFA (US$: 49) in the control centres (p <0.01). The calculated ICER favouring tele-ECG was 25 459.6 F CFA (US$: 44). Discussion: Telemedicine is efficient for managing patients with CVDs in primary health care in Cameroon. It enables health facilities in remote areas to offer new healthcare services at a lower cost and improve patients' financial access to healthcare.
Databáze:	MEDLINE
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