Department of Health, Blekinge Institute of Technology, SE-371 79 Karlskrona, Sweden.
Health Economics Unit, Department of Clinical Sciences, Lund University, SE-221 00 Lund, Sweden.
Int J Environ Res Public Health. 2020 Jul 22;17(15):5290. doi: 10.3390/ijerph17155290.
The objective of this study was to critically assess and review empirical evidence on the cost-effectiveness of Mobile Health (mHealth) interventions for older adults. We systematically searched databases such as Pubmed, Scopus, and Cumulative Index to Nursing and Allied Literature (CINAHL) for peer-reviewed economic evaluations published in English from 2007 to 2018. We extracted data on methods and empirical evidence (costs, effects, incremental cost-effectiveness ratio) and assessed if this evidence supported the reported findings in terms of cost-effectiveness. The consolidated health economic evaluation reporting standards (CHEERS) checklist was used to assess the reporting quality of the included studies. Eleven studies were identified and categorized into two groups: complex smartphone communication and simple text-based communication. Substantial heterogeneity among the studies in terms of methodological approaches and types of intervention was observed. The cost-effectiveness of complex smartphone communication interventions cannot be judged due to lack of information. Limited evidence of cost-effectiveness was found for interventions related to simple text-based communications. Comprehensive economic evaluation studies are warranted to assess the cost-effectiveness of mHealth interventions designed for older adults.
本研究旨在对老年人移动健康（mHealth）干预措施的成本效益进行批判性评估和综述。我们系统地检索了 Pubmed、Scopus 和 Cumulative Index to Nursing and Allied Literature（CINAHL）等数据库，以获取 2007 年至 2018 年间发表的英文同行评审经济评估。我们提取了方法和经验证据（成本、效果、增量成本效益比）的数据，并评估了这些证据是否支持报告的成本效益结果。使用综合健康经济评估报告标准（CHEERS）清单评估纳入研究的报告质量。确定了 11 项研究，并将其分为两类：复杂智能手机通信和简单基于文本的通信。研究在方法学方法和干预类型方面存在显著的异质性。由于缺乏信息，无法判断复杂智能手机通信干预措施的成本效益。与简单基于文本的通信相关的干预措施的成本效益证据有限。需要进行全面的经济评估研究，以评估专为老年人设计的移动健康干预措施的成本效益。
