Pulmonary Disease, Chronic Obstructive Clinical Trial
Official title:
Effectiveness and Cost-effectiveness of Telemedicine for Chronic Obstructive Pulmonary Disease: The Danish "TeleCare North" Pragmatic Cluster-randomized Trial.
There are two main aims in this study. The first objective is to evaluate whether a
particular telehealth solution, in addition to standard treatment and care, lead to a
significant decrease in the mortality and an increase in health related quality of life for
patients suffering from COPD that may benefit from telehealth compared with only standard
treatment and care. The second objective is to examine the additional costs of the
telehealth solution and assess whether this solution is a cost-effective way to care for
patients with COPD across patients and municipality districts.
It is hypothesized that telehealth care will increase patients quality adjusted life years
at both the cluster and individual level compared to usual practice, since no difference in
mortality and a higher health related quality of life is expected. Furthermore, it is hoped
that there will be a 30% reduction in the number of admissions and readmissions to hospitals
and a 30% reduction in the number of outpatient visits resulting in fewer costs for
hospitals. However, it is uncertain as to whether these savings are offset by other costs
such as more visits to general practitioners, community care or the implementation costs.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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