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Evaluating the economic impact of smart care platforms : qualitative and quantitative results of a case study

Frederic Vannieuwenborg UGent, Thomas Van der Auwermeulen, Jan Van Ooteghem, An Jacobs, Sofie Verbrugge UGent and Didier Colle UGent (2016) JMIR MEDICAL INFORMATICS. 4(4). p.93-107
abstract
Background: In response to the increasing pressure of the societal challenge because of a graying society, a gulf of new Information and Communication Technology (ICT) supported care services (eCare) can now be noticed. Their common goal is to increase the quality of care while decreasing its costs. Smart Care Platforms (SCPs), installed in the homes of care-dependent people, foster the interoperability of these services and offer a set of eCare services that are complementary on one platform. These eCare services could not only result in more quality care for care receivers, but they also offer opportunities to care providers to optimize their processes. Objective: The objective of the study was to identify and describe the expected added values and impacts of integrating SCPs in current home care delivery processes for all actors. In addition, the potential economic impact of SCP deployment is quantified from the perspective of home care organizations. Methods: Semistructured and informal interviews and focus groups and cocreation workshops with service providers, managers of home care organizations, and formal and informal care providers led to the identification of added values of SCP integration. In a second step, process breakdown analyses of home care provisioning allowed defining the operational impact for home care organization. Impacts on 2 different process steps of providing home care were quantified. After modeling the investment, an economic evaluation compared the business as usual (BAU) scenario versus the integrated SCP scenario. Results: The added value of SCP integration for all actors involved in home care was identified. Most impacts were qualitative such as increase in peace of mind, better quality of care, strengthened involvement in care provisioning, and more transparent care communication. For home care organizations, integrating SCPs could lead to a decrease of 38% of the current annual expenses for two administrative process steps namely, care rescheduling and the billing for care provisioning. Conclusions: Although integrating SCP in home care processes could affect both the quality of life of the care receiver and informal care giver, only scarce and weak evidence was found that supports this assumption. In contrast, there exists evidence that indicates the lack of the impact on quality of life of the care receiver while it increases the cost of care provisioning. However, our cost-benefit quantification model shows that integrating SCPs in home care provisioning could lead to a considerable decrease of costs for care administrative tasks. Because of this cost decreasing impact, we believe that the integration of SCPs will be driven by home care organizations instead of the care receivers themselves.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
keyword
IBCN, CLUSTER RANDOMIZED-TRIAL, SOCIAL CARE, SYSTEMS, TELECARE, HEALTH, TECHNOLOGY, SERVICES, FRAMEWORK
journal title
JMIR MEDICAL INFORMATICS
JMIR Med. Inform.
volume
4
issue
4
article number
e33
pages
93 - 107
Web of Science type
Article
Web of Science id
000387988000008
ISSN
2291-9694
DOI
10.2196/medinform.5012
UGent publication?
yes
classification
A2
id
8507654
handle
http://hdl.handle.net/1854/LU-8507654
date created
2017-02-06 09:18:30
date last changed
2018-05-16 12:56:46
@article{8507654,
  abstract     = {Background: In response to the increasing pressure of the societal challenge because of a graying society, a gulf of new Information and Communication Technology (ICT) supported care services (eCare) can now be noticed. Their common goal is to increase the quality of care while decreasing its costs. Smart Care Platforms (SCPs), installed in the homes of care-dependent people, foster the interoperability of these services and offer a set of eCare services that are complementary on one platform. These eCare services could not only result in more quality care for care receivers, but they also offer opportunities to care providers to optimize their processes. 

Objective: The objective of the study was to identify and describe the expected added values and impacts of integrating SCPs in current home care delivery processes for all actors. In addition, the potential economic impact of SCP deployment is quantified from the perspective of home care organizations. 

Methods: Semistructured and informal interviews and focus groups and cocreation workshops with service providers, managers of home care organizations, and formal and informal care providers led to the identification of added values of SCP integration. In a second step, process breakdown analyses of home care provisioning allowed defining the operational impact for home care organization. Impacts on 2 different process steps of providing home care were quantified. After modeling the investment, an economic evaluation compared the business as usual (BAU) scenario versus the integrated SCP scenario. 

Results: The added value of SCP integration for all actors involved in home care was identified. Most impacts were qualitative such as increase in peace of mind, better quality of care, strengthened involvement in care provisioning, and more transparent care communication. For home care organizations, integrating SCPs could lead to a decrease of 38\% of the current annual expenses for two administrative process steps namely, care rescheduling and the billing for care provisioning. 

Conclusions: Although integrating SCP in home care processes could affect both the quality of life of the care receiver and informal care giver, only scarce and weak evidence was found that supports this assumption. In contrast, there exists evidence that indicates the lack of the impact on quality of life of the care receiver while it increases the cost of care provisioning. However, our cost-benefit quantification model shows that integrating SCPs in home care provisioning could lead to a considerable decrease of costs for care administrative tasks. Because of this cost decreasing impact, we believe that the integration of SCPs will be driven by home care organizations instead of the care receivers themselves.},
  articleno    = {e33},
  author       = {Vannieuwenborg, Frederic and Van der Auwermeulen, Thomas and Van Ooteghem, Jan and Jacobs, An and Verbrugge, Sofie and Colle, Didier},
  issn         = {2291-9694},
  journal      = {JMIR MEDICAL INFORMATICS},
  keyword      = {IBCN,CLUSTER RANDOMIZED-TRIAL,SOCIAL CARE,SYSTEMS,TELECARE,HEALTH,TECHNOLOGY,SERVICES,FRAMEWORK},
  number       = {4},
  pages        = {e33:93--e33:107},
  title        = {Evaluating the economic impact of smart care platforms : qualitative and quantitative results of a case study},
  url          = {http://dx.doi.org/10.2196/medinform.5012},
  volume       = {4},
  year         = {2016},
}

Chicago
Vannieuwenborg, Frederic, Thomas Van der Auwermeulen, Jan Van Ooteghem, An Jacobs, Sofie Verbrugge, and Didier Colle. 2016. “Evaluating the Economic Impact of Smart Care Platforms : Qualitative and Quantitative Results of a Case Study.” Jmir Medical Informatics 4 (4): 93–107.
APA
Vannieuwenborg, F., Van der Auwermeulen, T., Van Ooteghem, J., Jacobs, A., Verbrugge, S., & Colle, D. (2016). Evaluating the economic impact of smart care platforms : qualitative and quantitative results of a case study. JMIR MEDICAL INFORMATICS, 4(4), 93–107.
Vancouver
1.
Vannieuwenborg F, Van der Auwermeulen T, Van Ooteghem J, Jacobs A, Verbrugge S, Colle D. Evaluating the economic impact of smart care platforms : qualitative and quantitative results of a case study. JMIR MEDICAL INFORMATICS. 2016;4(4):93–107.
MLA
Vannieuwenborg, Frederic, Thomas Van der Auwermeulen, Jan Van Ooteghem, et al. “Evaluating the Economic Impact of Smart Care Platforms : Qualitative and Quantitative Results of a Case Study.” JMIR MEDICAL INFORMATICS 4.4 (2016): 93–107. Print.