Cost analysis for telemedicine services: A scoping review of literature on the cost-benefit approach

Titolo Rivista MANAGEMENT CONTROL
Autori/Curatori Luca Del Bene, Cecilia Menegon
Anno di pubblicazione 2026 Fascicolo 2025/3
Lingua Inglese Numero pagine 24 P. 137-160 Dimensione file 181 KB
DOI 10.3280/MACO2025-003007
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FrancoAngeli è membro della Publishers International Linking Association, Inc (PILA), associazione indipendente e non profit per facilitare (attraverso i servizi tecnologici implementati da CrossRef.org) l’accesso degli studiosi ai contenuti digitali nelle pubblicazioni professionali e scientifiche.

The integration of digitalization practices in accounting encompasses efforts to optimize resource allocation, promote effective cost management and support rational decision making through the use of innovative digital tools. In the healthcare sector, where a trade-off between available resources and patients’ necessities has been consolidating, performing economic evaluations is crucial. Telemedicine can allow to implement a valuable healthcare offer, while limiting its costs; most evaluations have adopted a cost-effectiveness approach, with oftentimes inconclusive findings and limited focus on other methods. Therefore, this study aims to analyze the scientific literature on telemedicine cost assessment to explore the cost-benefit approach within it. The scoping review methodology allows to map available evidence and assess the literature extension on the cost-benefit method. This literature analysis contributes to knowledge building on the approach and identify challenges that might prevent healthcare organizations from adopting it, while suggesting possible solutions. It allows to organize theoretical knowledge on how cost-benefit analysis can be applied to digital healthcare and from a managerial perspective it provides healthcare organizations with insights on how to structure their strategic resource allocation decisions, considering the necessary investments in technologies and healthcare personnel training, the direct and indirect costs of activities and convenience in converting healthcare services in telemedicine rather than maintaining the traditional modalities.

Parole chiave:Cost-benefit analysis, Telemedicine, Healthcare organizations, Scoping review, Cost evaluation

  1. Porter M. E., Teisberg E.O. (2006), Redefining Health Care: Creating Value-Based Competition on Results, Brighton, Harvard Business Review Press.
  2. Rasanen P., Roine E., Sintonen H., Semberg-Konttinen V., Ryynanen O.P., Roine R. (2006), Use of quality-adjusted life years for the estimation of effectiveness of healthcare: A systematic literature review, International Journal of Technology Assessment in Health Care, 22(2), pp. 235-241. DOI: 10.1017/S0266462306051051
  3. Reardon T. (2005), Research Findings and Strategies for Assessing Telemedicine Costs, Telemedicine and e-Health, 11(3), pp. 348-370.
  4. Ritchie J., Spencer L. (1994), Qualitative data analysis for applied policy research, In Bryman A., Burgess R.G. (eds), Analysing Qualitative Data, London, Routledge.
  5. Roine R., Ohinmaa A., Hailey D. (2001), Assessing telemedicine: a systematic review of the literature, Canadian Medical Association Journal, 165(6), pp. 765-771.
  6. Rudmik L., Drummond M. (2013), Health Economic Evaluation: Important Principles and Methodology, Laryngoscope, 123, pp. 1341-1347.
  7. Rusconi G. (2018), Ethical Firm System and Stakeholder Management Theories: A Possible Convergence, European Management Review, 16(1), pp. 147-166.
  8. Sculpher M.J., Price M. (2003), Measuring costs and consequences in economic evaluation in asthma, Respiratory Medicine, 97(5), pp. 508-520.
  9. Sood S., Mbarika V., Jugoo S., Dookhy R., Doarn C.R., Prakash N., Merrell R.C. (2007), What is telemedicine? A collection of 104 peer-reviewed perspectives and theoretical underpinnings, Telemedicine Journal and e-Health, 13(5), pp. 573-590.
  10. Tangpong C. (2011), Content analytic approach to measuring constructs in operations and supply chain management, Journal of Operations Management, 29(6), pp. 627-638.
  11. Thaker D.A., Monupenny R., Olver R., Sabesan S. (2013), Cost savings from a telemedicine model of care in northern Queensland, Australia, The Medical Journal of Australia, 199, pp. 414-417.
  12. Thomas S.M., Jeyaraman M.M., Jeyaraman M., Hodge W.G., Hutnik C., Costella J., Malvankar-Mrhta M.S. (2014), The effectiveness of teleglaucoma versus in-patient examination for glaucoma screening: a systematic review and meta-analysis, PloS ONE, 9(12).
  13. Tricco A.C., Lille E., Zarin W., O’Brien K.K., Colquhoun H., Levac D., Moher D., Peters M.D.J., Horsley T., Weeks L., Hempel S., Akl E.A., Chang C., McGowan J., Stewart L., Hartling L., Aldcroft A., Wilson M.G., Garritty C., Lewin S., Godfrey C.M., Macdonald M.T., Langlois E.V., Soares-Weiser K., Moriarty J., Clifford T., Tuncalp O., Straus S.E. (2018), PRISMA Extention for Scoping Reviews (PRISMA-ScR): Checklist and Explanation, Annals of Internal Medicine, 169(7), pp. 467-473. DOI: 10.7326/M18-0850
  14. Valentinetti D., Rea M.A. (2023), Intelligenza artificiale e accounting: le possibili relazioni, Management Control, 2, pp. 93-116. DOI: 10.3280/MACO2023-002005
  15. Vinci S., Biscotti A.M., D’Amico E. (2022), I sistemi di management control nella sanità pubblica italiana: dalle strutture verticali ai processi orizzontali, Management Control, 1, pp. 103-119. DOI: 10.3280/MACO2022-001007
  16. Viscusi W.K., Aldy J.E. (2003), The value of a statistical life: A critical review of the market estimates throughout the world, NBER Working Papers 9887, National Bureau of Economic Research, Inc.
  17. Whitten P.S., Mair F.S., Haycox A., May C.R., Williams T.L., Hellmich S. (2002), Systematic review of cost effectiveness studies of telemedicine interventions, British Medical Journal, 324, pp. 1434-1437.
  18. Aria M., Cuccurullo C. (2017), bibliometrix: an R-tool for comprehensive science mapping analysis, Journal of Infometrics, 11(4), pp. 959-975.
  19. Arksey H., O’Malley L. (2007), Scoping studies: towards a methodological framework, International Journal of Social Research Methodology, 8(1), pp. 19-32. DOI: 10.1080/1364557032000119616
  20. Bergmo T.S. (2015), How to Measure Costs and Benefits of eHealth Interventions: An Overview of Methods and Frameworks, Journal of Medical Internet Research, 17(11), pp. 1-11.
  21. Bogarelli P., Castellano N. (2023), L’implementazione di tecnologie 4.0 nelle piccole imprese: analisi di un caso di successo, Management Control, 2, pp. 137-164. DOI: 10.3280/MACO2023-002007
  22. Broadbent J., Guthrie J. (2008), Public sector to public services: 20 years of “contextual” accounting research, Accounting, Auditing & Accountability Journal, 21(2), pp. 129-169. DOI: 10.1108/09513570810854383
  23. Candio P. (2023), On the role of cost-effectiveness in accounting, Management Control, 2, pp. 215-225. DOI: 10.3280/MACO2023-002-S1-010
  24. D’Onza G. (2022), L’orientamento delle aziende ad uno sviluppo sostenibile: quale contributo da parte dei sistemi di management e controllo? Management Control, 1, pp. 5-15. DOI: 10.3280/MACO2022-001001
  25. De la Torre-Diez I., Lopez-Coronado M., Vacam C., Ahuado J.S., de Castro C. (2015), Cost-Utility and Cost-Effectiveness Studies of Telemedicine, Electronic, and Mobile Health Systems in the Literature: A Systematic Review, Telemedicine and e-Health, 21(2), pp. 81-85.
  26. De Nicola M., Maurizi A.M. (2023), What do companies report about their digital transformation?. Management Control, 2, pp. 165-185. DOI: 10.3280/MACO2023-002008
  27. Drummond M.F., Schulpher M.J., Torrance G.W., O’Brien B.J., Stoddart G.L. (2005), Methods for the Economic Evaluation of Health Care Programmes, New York, NY, Oxford University Press.
  28. Dumay J., Guthrie J., Puntillo P. (2015), IC and public sector: a structured literature review, Journal of Intellectual Capital, 16(2), pp. 267-284. DOI: 10.1108/JIC-02-2015-0014
  29. Eze N.D., Mateus C., Oliveira Hashiguchi T.C. (2020), Telemedicine in the OECD: An umbrella review of clinical and cost-effectiveness, patient experience and implementation, PloS ONE, 15(8).
  30. Gibson C.B. (2017), Elaboration, generalization, triangulation, and interpretation: On enhancing the value of mixed method research, Organizational Research Methods, 20(2), pp. 193-223. DOI: 10.1177/1094428116639133
  31. Guthrie J., Ricceri F., Dumay J. (2012), Reflections and projection: a decade of intellectual capital accounting research, The British Accounting Review, 44(2), pp. 68-92.
  32. Himmler S. (2021), Estimating the monetary value of health: why and how, in Schildmann J., Buch C., Zerth J. (eds), Defining the Value of Medical Interventions: Normative and Empirical Challenges, Stuttgard, Kohlhammer VW.
  33. Himmler S., van Exel J., Brouwer W. (2020), Estimating the monetary value of health and capability well-being applying the well-being valuation approach, European Journal of Health Economics, 21, pp. 1235-1244.
  34. Lomenick A.F., Kuhlman S.J., Barnes J.L., Gurley-Calvez T., Spaulding A.O., Krebill H.M., Doolittle G.C. (2021), Economics of Using Telemedicine to Supplement Hospice Care in Rural Areas, Journal of Palliative Medicine, 24(10), pp. 1461-1466.
  35. Mancini D., Lavorato D., Piedepalumbo P. (2023), Il contributo di Management Control alla ricerca su tecnologie digitali e sostenibilità, Management Control, 2, pp. 5-18. DOI: 10.3280/MACO2023-002001
  36. Missaglia A.L., Bubbio A., Gulino D. (2024), From cost control to cost management: How is the current state of the Italian contect? Management Control, 1, pp. 203-226. DOI: 10.3280/MACO2024-001010
  37. Mistry H. (2012), Systematic review of studies of the cost-effectiveness of telemedicine and telecare. Changes in the economic evidence over twenty years, Journal of Telemedicine and Telecare, 18, pp. 1-6.
  38. Morris S., Devlin N., Parkin D. (2007), Economic Analysis in Health Care, Chichester, UK, John Wiley & Sons.
  39. Munn Z., Peters M.D.J., Stern C., Tufanaru C., McArthur A., Aromataris E. (2018), Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach, Medical Research Methodology, 18(143), pp. 1-7.
  40. Andrade M.V., Maia A.C., Cardoso C.S., Alkmim M.B., Ribeiro A.L.P. (2011), Cost-benefit of the Telecardiology Service in the State of Minas Gerais: Minas Telecardio Project, Arquivos Brasilieros de Cardiologia, 97(4), pp. 307-16.
  41. Aponte-Tinao L.A., Farfalli G.L., Albergo J.I., Plazzotta F., Sommer J., Luna D., de Quiros F.G.B. (2019), Face to Face Appointment vs. Telemedicine in First Time Appointment Orthopedic Oncology Patients: A Cost Analysis, In Ohno-Machado L., Seroussi B. (eds), MEDINFO 2019: Health and Wellbeing e-Networks for All, 2019 International Medical Informatics Association (IMIA) and IOS Press.
  42. Bott O.J., Hoffmann I., Bergmann J., Gusew N., Schnell O., Gomez E.J., Hernando M.E., Kosche P., von Ahn C., Mattfeld D.C., Pretschner D.P. (2007), HIS modelling and simulation-based cost-benefit analysis of a telemedical system for closed-loop diabetes therapy, International Journal of Medical Informatics, 76, pp. 447-455.
  43. Davalos M.E., French M.T., Burdick A.E., Simmons S.C. (2009), Economic Evaluation of Telemedicine: Review of the Literature and Research Guidelines for Benefit-Cost Analysis, Telemedicine and e-Health, 15(10), pp. 933-948.
  44. Deng L., White A.S., Pawlowska M., Pottinger B., Aydin J., Chow N., Tildesley H.D. (2015), Cost-Benefit Analysis of Internet Therapeutic Intervention on Patients with Diabetes, International Journal of Endocrinology and Metabolism, 13(2).
  45. Ferraris K.P., Golidtum J.P., Zuniga B.K.W., Bautista M.C.G., Alcazaren J.C., Seng K., Navarro J.E. (2020), Recapitulating the Bayesian framework for neurological outpatient care and a cost-benefit analysis of telemedicine for socioeconomically disadvantaged patients in the Philippines during the pandemic, Neurosurgical focus, 49(6). DOI: 10.3171/2020.9.FOCUS20695
  46. Gamble J.E., Savage G.T., Icenogle M.L. (2004), Value-chain analysis of rural health program: toward understanding the cost benefit of telemedicine applications, Hospital topics, 82(1), pp. 10-17.
  47. Jacobs M., Briley P.M., Wright H.H., Ellis C. (2023), Marginal assessment of the cost and benefits of aphasia treatment: Evidence from community-based telerehabilitation treatment for aphasia, Journal of Telemedicine and Telecare, 29(4), pp. 271-281. DOI: 10.1177/1357633X20982773
  48. Kouskoukis M.N., Botsaris C. (2017), Cost-Benefit Analysis of Telemedicine Systems/Units in Greek Remote Areas, Pharmaco Economics, 1, pp. 117-121.
  49. Langabeer II J.R., Champagne-Langabeer T., Alqusairi D., Kim J., Jackson A., Persse D., Gondallez M. (2017), Cost-benefit analysis of telehealth in pre-hospital care, Journal of Telemedicine and Telecare, 23(8), pp. 747-751. DOI: 10.1177/1357633X16680541
  50. Latifi K., Lecaj I., Bekteshi F., Dasho E., Doarn C.R., Merrell R.C., Latifi R. (2011), Cost-benefit analysis on the use of telemedicine program of Kosova for continuous medical education: a sustainable and efficient model to rebuilt systems in developing countries, Telemedicine journal and e-health: the official journal of the American Telemedicine Association, 17(10), pp. 757-762.
  51. Loane M.A., Bloomer S.E., Corbett R., Eedy D.J., Evans C., Hicks N., Jacklin P., Lotery H.E., Mathews C., Paisley J., Reid P., Steele P., Wootton R. (2001), A randomized controlled trial assessing the health economics of realtime teledermatology compared with conventional care: an urban versus rural perspective, Journal of Telemedicine and Telecare, 7(2), pp. 108-118. DOI: 10.1258/1357633001933952
  52. Loane M.A., Bloomer S.E., Corbett R., Eedy D.J., Hicks N., Lotery H.E., Mathews C., Paisley J., Steele K., Wootton R. (2000), A comparison of real-time and store-and-forward teledermatology: a cost-benefit study, The British Journal of Dermatology, 143(6).
  53. Long M.W., Hobson S., Dougè J., Wagaman K., Saldon R., Price O.A. (2024), Effectiveness and Cost-Benefit of an Elementary School-Based Telehealth Program, The Journal of school nursing: the official publication of National Association of School Nurses, 40(3), pp. 248-256. DOI: 10.1177/10598405211069911
  54. Matsumoto Y., Ogawa M., Matsuzaki T., Tsuji M. (2015), Cost/Benefit Analysis of an e-Ambulance Project in Kochi Prefecture, Japan, Communications in Computer and Information Science, 540, pp. 509-520.
  55. Myreteg G. (2015), Cost-benefit evaluation of e-health services: acceptance and value creation are interactive forces, Health Systems, 4, pp. 204-211.
  56. Natafgi N., Shane D.M., Ullrich F., MacKinney A.C., Bell A., Ward M.M. (2017), Using tele-emergency to avoid patient transfers in rural emergency departments: An assessment of costs and benefits, Journal of Telemedicine and Telecare, pp. 1-9. DOI: 10.1177/1357633X17696585
  57. Oakley A.M., Kerr P., Duffill M., Rademaker M., Fleischl P., Bradford N., Mills C. (2000), Patient cost-benefit of realtime teledermatology – a comparison of data from Northern Ireland and New Zealand, Journal of Telemedicine and Telecare, 6(2), pp. 97-101. DOI: 10.1258/1357633001935112
  58. Patel T. (2000), A cost-benefit analysis of the effect of shipboard telemedicine in a selected oceanic region, Journal of Telemedicine and Telecare, 6(1). DOI: 10.1258/1357633001934546
  59. Santoso N.B., Bahaweres R.B., Alaydrus M. (2016), Cost-Benefit, NVP, IRR and QoS Analysis of the Dynamic Telecytology System in Indonesia, 2016 1st International Conference on Biomedical Engineering (IBIOMED), Yogyakarta, Indonesia.
  60. Sohn S., Helms T.M., Pelleter J.T., Muller A., Krottinger A.I., Schoffski O. (2012), Costs and Benefits of Personalized Healthcare for Patients with Chronic Heart Failure in the Care and Education Program “Telemedicine for the Hearth”, Telemedicine and e-Health, 18(3).
  61. Subramanian S., Palmer C.M. (2019), Cost-Benefit Analysis of Implementing Telemedicine in the ICU, in Koenig M.A. (eds), Telemedicine in the ICU, Cham, Springer Nature Switzerland.
  62. Tsuji M., Taoka F., Iizuka C., Teshima M. (2005), An analysis of the ex-ante evaluation of economic benefits of the e-health system in Misumi Town, Yamaguchi Prefecture, Proceedings of the 7th International Workshop on Enterprise networking and Computing in Healthcare Industry, 2005.

Luca Del Bene, Cecilia Menegon, Cost analysis for telemedicine services: A scoping review of literature on the cost-benefit approach in "MANAGEMENT CONTROL" 3/2025, pp 137-160, DOI: 10.3280/MACO2025-003007