Adherence
Tele-based health coaching for patients with Type 2 Diabetes (T2D) or Coronary Artery Disease (CAD) does not produce a statistically significant reduction in total healthcare and long-term care costs over an 8-year follow-up period compared to usual care.
For healthcare administrators and policymakers, this study indicates that tele-based health coaching for T2D and CAD patients should not be implemented primarily as a cost-saving measure over an 8-year horizon, as it does not significantly reduce total healthcare and long-term care costs compared to usual care. Decision-makers should focus on clinical outcomes and patient empowerment rather than expected financial savings when evaluating this intervention.
Intention-to-treat analysis showed no significant change in total health and long-term care costs (intervention effect €1248 [3 percent relative reduction], CI −6347 to 2217) in the intervention compared to the control group.
Why this rating
Randomized Controlled Trial with 8-year follow-up and linkage to national registries, though the result was non-significant.
Source
Eight‐year post‐trial follow‐up of health care and long‐term care costs of tele‐based health coaching
Erja Mustonen et al. · Health Services Research · 2019
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