title: Cost factors in implementing telemonitoring programs in rural home health agencies.
abstract: The purpose of this quantitative study was to examine costs and implementation factors associated with development of telemonitoring programs in eight rural home health agencies. although the telemonitoring group (n = 1,513) averaged fewer visits per episode than the control group (n = 1,573), cost analysis data, including labor, travel, and equipment costs, failed to support the hypothesis that decreased utilization of skilled nursing visits alone could offset the costs of the telemonitoring technology. this study indicates that agencies must achieve savings through improved outcome performance to offset telemonitoring expenses.
authors.affiliation: In Home Care, Missoula, Montana, USA. hansend@partnersinhomecare.org
authors.forename: Dianne
authors.initials: D
authors.lastname: Hansen
authors.forename: Amanda L
authors.initials: AL
authors.lastname: Golbeck
authors.forename: Valerie
authors.initials: V
authors.lastname: Noblitt
authors.forename: Julie
authors.initials: J
authors.lastname: Pinsonneault
authors.forename: Janie
authors.initials: J
authors.lastname: Christner
mesh_terms: D000368:Aged; D005260:Female; D017048:Health Care Costs; D006699:Home Care Services / Q000191:economics* / Q000458:organization & administration; D006801:Humans; D008297:Male; D010043:Outcome and Process Assessment, Health Care; D019035:Rural Health Services / Q000191:economics* / Q000458:organization & administration; D017216:Telemedicine / Q000191:economics* / Q000458:organization & administration