Is a home based video teleconcltation setup cost effective for lowering HBA1C for patients with type-2 diabetes over a six-month period?

Morten Sall Jensen, Ole Winther Rasmussen

Publikation: Konferencebidrag uden forlag/tidsskriftPosterForskningpeer review


OBJECTIVES: A RCT assessed the effectiveness and costs of a home based video teleconsultation (HVT) setup to lower HbA1c in patients with type-2 diabetes against usual out-patient treatment on the hospital. The HVT equipment was delivered to the patients by the hospital. This analysis shows the potential incremental cost-effectiveness ratio (ICER) of using a HVT setup on six-months health care effects and costs.
METHODS: The study effectiveness outcome was HbA1c level in mmol/l. The economic analysis was performed with a spreadsheet decision tree model with a Danish hospital payer’s direct cost perspective. Cost data were based on study measured time consumption pr. HVT, consultations at out-patient clinic, HVT-equipment, -subscription, -support costs, and hospital operating cost. Medicine costs weren’t included in the model. Model output included the cost of a 1 mmol/l point reduction of HbA1c, ICER, with a probabilistic sensitivity analysis (PSA). Two scenario analyses (SA) were made to capture costs of patient transport to the hospital and a future online platform, were patients can use their own computer/tablet to the video teleconsultations.
RESULTS: A total of 39 patients (mean age 62, HbA1c 8.5 mmol/l) were randomized to either usual care (UC) or HVT. At 6 months follow up the HVT group showed greater improvements from baseline HbA1c levels (-1.38 mmol/l vs. -0.92 mmol/l) and less costly (€199.9 vs. €208.2) against UC. The base case ICER showed a potential €–17.58 saving per reduction of 1 HbA1c point. A PSA confirmed the ICER trends despite data uncertainties. Both SA showed further savings (ICER: €-67.85 and €-69.13). Compliance was 100% for HVT group were several planned visits were cancelled in the UC group.
CONCLUSIONS: The present analysis shows the potential benefits of a HVT setup on 6-months health care cost and effects against UC. Further savings could include cost associated with lost work days.
Publikationsdato10. nov. 2014
Antal sider1
StatusUdgivet - 10. nov. 2014
BegivenhedISPOR 17th Annual European Congress: New Challenges for Improving European Health Care - Amsterdam, Holland
Varighed: 8. nov. 201412. nov. 2014


KonferenceISPOR 17th Annual European Congress