Department of Recreation and Leisure Studies, Brock University, St. Catharines, Canada.
KITE Research Institute, Toronto Rehabilitation Institute - University Health Network, Toronto, Canada.
Disabil Rehabil. 2022 Dec;44(26):8188-8200. doi: 10.1080/09638288.2021.2019327. Epub 2021 Dec 30.
Telerehabilitation, or the delivery of rehabilitation using information and communication technologies, may improve timely and equitable access to rehabilitation services at home. A systematic literature review was conducted of studies that formally documented the costs and effects of home-based telerehabilitation versus in-person rehabilitation across all health conditions.
Six electronic databases were searched from inception to 13 July 2021 (APA, PsycInfo, CINAHL, Embase, EmCare, Medline (Ovid), and PubMed) using a protocol developed by a medical librarian. A quality appraisal of full economic evaluation studies was conducted using the Drummond 10-point quality checklist.
Thirty-five studies were included in this review covering various rehabilitation types and diverse populations. The majority were published in the last six years. Available evidence suggests that telerehabilitation may result in similar or lower costs as compared to in-person rehabilitation for the health care system and for patients. However, the impact of telerehabilitation on long-term clinical outcomes and health-related quality of life remains unclear.
More high quality and robust economic evaluations exploring the short- and long-term costs and other impacts of telerehabilitation on patients, caregivers, and health care systems across all types of patient populations are still required.Implications for rehabilitationHome-based telerehabilitation may reduce barriers in access to care for individuals living in the community.Economic analyses can inform health care system decision-making by evaluating the costs and effects associated with telerehabilitation.This study found that telerehabilitation may result in similar or lower costs as in-person rehabilitation; however, its impact on health-related quality of life is unclear.
远程康复，即通过信息和通信技术提供康复服务，可能会提高在家中获得康复服务的及时性和平等性。本系统评价对所有健康状况下基于家庭的远程康复与面对面康复相比的成本和效果进行了正式记录的研究进行了综述。
从 2021 年 7 月 13 日开始，使用医学图书馆员制定的方案，对六个电子数据库（APA、PsycInfo、CINAHL、Embase、EmCare、Medline（Ovid）和 PubMed）进行了搜索。使用 Drummond 10 分质量检查表对全经济评估研究进行了质量评估。
本综述共纳入 35 项研究，涵盖了各种康复类型和不同人群。大多数研究发表于过去六年。现有证据表明，与面对面康复相比，远程康复可能对医疗保健系统和患者的成本更低或相当。然而，远程康复对长期临床结局和健康相关生活质量的影响仍不清楚。
仍需要更多高质量、稳健的经济评估，以探索远程康复对所有类型患者人群的患者、护理人员和医疗保健系统的短期和长期成本和其他影响。
家庭为基础的远程康复可以减少社区中个体获得护理的障碍。经济分析可以通过评估与远程康复相关的成本和效果为医疗保健系统的决策提供信息。本研究发现，远程康复的成本可能与面对面康复相当或更低；然而，其对健康相关生活质量的影响尚不清楚。
