Hashimoto et al. (2001) [34] ENG |
MD-MDIive consultation rural hospitals |
Emergency radiotherapy |
ProsCoh |
CBA |
6/3 |
Health care system |
1 y (no need) Not specified |
1073 |
Initial system and operational costs for one university hospital and 10 rural hospitals including consultation fee |
Recovery rate of non-ambulant patients, % of avoiding hospitalization |
Cost-saving 4.67<BCR<13.4 |
Not specified |
SA: not perfumed |
Takada et al. (2003) [37] ENG |
MD-MDIive consultation rural hospitals |
Diagnostic radiology |
DiagAcc |
CMA |
6/3 |
Health provider |
1 y (no need) Not specified |
500 |
Only cost of films used for diagnosis and consultation fees are shown |
Diagnosis accuracy, % of avoiding unnecessary enhanced CT |
Cost-saving ($144 per reading) |
Not specified |
No initial cost shown |
SA: not perfumed |
Dekio et al. (2010) [35] ENG |
MD-MDIive consultation rural hospitals |
Dermatology |
DiagAcc |
CMA |
9/1 |
Health provider |
1 wk (no need) Not specified |
107 |
Initial system cost and monthly costs including medical staff’s fees, travel costs, and overhead office fee |
Screen image diagnoses, travel time and cost saved |
Cost-saving BCR = 1.53 (when travel/consultation time = 60 min/5 min) ($330 saving per case per week)2
|
MEXT |
SA: 2-way |
Tanikawa et al. (2010) [49] JPN |
MD-MDIive consultation rural clinics |
Pediatric primary care |
Survey |
WTP estimation |
2/7 |
Societal |
1 d (no need) Not specified |
263 |
N/A |
Patients’ WTP for telemedicine use between remote primary pediatrician and university hospital |
WTP = $31-34 per emergency department visit |
Not specified |
SA: not perfumed |
Miyahara et al. (2006) [38] ENG |
MD-MD stored nation-wide |
Teleradiology, telepathology |
Survey |
WTP estimation |
1/8 |
Health provider |
1 y (no need) Not specified |
622 |
N/A |
Medical institutions’ WTP, for teleradiology, pathology, consultation (MD-MD) |
WTP=$489 per person per year for teleradiology, $1063 for telepathology |
MEXT, Postal |
Saving Funds |
SA: not perfumed |
Tsuji et al. (2006) [39] ENG |
MD-MD stored nation-wide |
Teleradiology, telepathology |
Survey |
WTP estimation |
1/8 |
Health provider |
1 y (no need) Not specified |
622 |
N/A |
Medical institutions’ WTP, for teleradiology, pathology, consultation (MD-MD) |
WTP=$510 per person per year for teleradiology, $1111 for telepathology |
JSPS, MHLW, |
Okawa |
Telecom |
Fecundation, |
Postal Saving |
SA: not perfumed |
Funds |
Aoki et al. (2006) [36] ENG |
MD-Pt live rural home |
Palliative care |
RetCoh |
CMA |
9/0 |
Health care system |
1 y (no need) |
100 |
Initial system cost and monthly costs including medical staff’s fees and travel costs. |
Patients' satisfaction (qualitative), travel time and cost saved |
BCR = 1.93 ($5000 saving per case per year)3
|
MHLW |
5 y depreciation |
SA: 1-way and 2-way |
Tsuji et al. (2002) [48] JPN |
MD-Pt, stored rural home |
Elderly with chronic diseases |
RetCoh |
CBA |
8/2 |
Societal |
6-11 y (4%) |
405 |
Initial system and device cost and operational costs including labor fees. |
Users’ health consciousness, anxiety, and WTP for telehomecare service |
Cost-saving |
MHLW |
6y depreciaticDn |
BCR (6 y)=1.07 |
BCR (11 y)=1.28 |
SA: not perfumed |
Tsuji et al. (2003) [40] ENG |
MD-Pt stored rural home |
Elderly with chronic diseases |
RetCoh |
CBA |
8/2 |
Societal |
6 y (4%) |
2333 |
Initial system and device cost and operational costs including labor fees. |
Users’ health consciousness, anxiety, and WTP for telehomecare service |
BCR in 4 regions ranged from 0.54 to 1.07 |
MEXT |
6y depreciaticDn |
SA: not perfumed |
Ito et al. (2003) [46] JPN |
MD-Pt stored rural home |
Elderly with chronic diseases |
Survey |
WTP estimation |
2/7 |
Societal |
1 mo (no need) |
498 |
N/A |
Users’ health consciousness, anxiety, and WTP for telehomecare service |
WTP=$288 per case per year for telehomecare; no difference between 2 towns after adjustment |
Not specified |
Not specified |
SA: not perfumed |
Osaka et al. (2003) [47] JPN |
MD-Pt stored rural home |
Elderly with chronic diseases |
Survey |
WTP estimation |
1/8 |
Societal |
1 mo (no need) |
348 |
N/A |
Users’ health consciousness, anxiety, and WTP for telehomecare service |
WTP=$480 per case per year for telehome care |
Not specified |
Not specified |
SA: not perfumed |
Tsuji et al. (2003) [41] ENG |
MD-Pt, stored rural home |
Elderly with chronic diseases |
Survey |
WTP estimation |
1/8 |
Societal |
1 mo (no need) |
348 |
N/A |
Users’ health consciousness, anxiety, and WTP for telehomecare service |
WTP=$520 per case per year for telehome care |
MEXT |
Not specified |
SA: not perfumed |
Homma et al. (2012) [42] ENG |
MD-Pt stored urban home |
Elderly with chronic diseases |
Survey |
WTP estimation |
1/8 |
Societal |
1 mo (no need) |
102 |
N/A |
Users’ WTP for monitoring service |
WTP=$109 per case per year for chronic care |
Omron Health Care Co. |
Not specified |
SA: not perfumed |
Akematsu et al. (2009) [43] ENG |
PhNrs-Pt rural home |
Elderly with chronic diseases |
RetCoh |
Benefit estimation |
3/7 |
Societal |
10 y (not applied) |
862 |
N/A |
Medical expenditure saved by telehomecare based on receipts data of NHI |
Savings of $148 per case per year for outpatient care with lifestyle-related illness |
MHLW, MEXT, JSPS |
Not specified |
SA: not perfumed |
Akematsu et al. (2010) [27] JPN |
PhNrs-Pt rural home |
Elderly with chronic diseases |
RetCoh |
Benefit estimation |
3/6 |
Societal |
1 y (no need) |
862 |
N/A |
Medical expenditure saved by telehomecare based on receipts data of NHI |
Savings $212-371 per case per year for outpatient care with heart disease, high blood pressure, and diabetes |
Not specified |
Not specified |
SA: not perfumed |
Akematsu et al. (2012) [44] ENG |
PhNrs-Pt rural home |
Elderly with chronic diseases |
RetCoh |
Benefit estimation |
3/5 |
Societal |
1 y (no need) |
408 |
N/A |
Medical expenditure saved by telehomecare based on receipts data of NHI |
Savings of $247-387 per case per year for outpatient care with chronic diseases |
Not specified |
Not specified |
SA: not perfumed |
Akematsu et al. (2013) [45] ENG |
PhNrs-Pt rural home |
Elderly with chronic diseases |
RetCoh |
Benefit estimation |
3/7 |
Societal |
9 y (no need) |
519 |
N/A |
Medical expenditure saved by telehomecare based on receipts data of NHI |
Savings of $629 per case per year for outpatient care with chronic diseases |
Not specified |
Not specified |
SA: not perfumed |