Assessment of Approaches to Evaluating Telemedicine. 4. Evaluation Questions

12/01/2000

  • Evaluating Quality of Care and Health Outcomes
    - What were the effects of the telemedicine application on the clinical process of care compared to the alternative(s)?
    - What were the effects of the telemedicine application on immediate, intermediate, or long-term health outcomes compared to the alternative(s)?
  • Evaluating Access to Care
    - Did telemedicine affect the use of services or the level or appropriateness of care compared to the alternative(s)?
    - Did the application affect the timeliness of care or the burden of obtaining care compared to the alternative(s)?
  • Evaluating Health Care Costs and Cost-Effectiveness - What were the costs of the telemedicine application for participating health care providers or health plans compared to the alternative(s)?
    - What were the costs of the telemedicine application for patients and families compared to the alternative(s)?
    - What were the costs for society overall compared to the alternative(s)?
    - How did the cost of the application relate to the benefits of the telemedicine application compared to the alternative(s)?
  • Evaluating Patient Perceptions
    - Were patients satisfied with the telemedicine service compared to the alternative(s)?
  • Evaluating Clinician Perceptions
    - Were attending and/or consulting clinicians satisfied with the telemedicine application compared to the alternative(s)?

Our report uses the IOM framework as a base and attempts to build on its points. Of the four main IOM components shown above, our report devotes greatest attention to the fourth one, as requested by the Task Monitor.

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