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  • Kristian Kidholm (a1), Anne Granstrøm Ekeland (a2), Lise Kvistgaard Jensen (a3), Janne Rasmussen (a3), Claus Duedal Pedersen (a3), Alison Bowes (a4), Signe Agnes Flottorp (a5) and Mickael Bech (a6)...

Objectives: Telemedicine applications could potentially solve many of the challenges faced by the healthcare sectors in Europe. However, a framework for assessment of these technologies is need by decision makers to assist them in choosing the most efficient and cost-effective technologies. Therefore in 2009 the European Commission initiated the development of a framework for assessing telemedicine applications, based on the users’ need for information for decision making. This article presents the Model for ASsessment of Telemedicine applications (MAST) developed in this study.

Methods: MAST was developed through workshops with users and stakeholders of telemedicine.

Results: Based on the workshops and using the EUnetHTA Core HTA Model as a starting point a three-element model was developed, including: (i) preceding considerations, (ii) multidisciplinary assessment, and (iii) transferability assessment. In the multidisciplinary assessment, the outcomes of telemedicine applications comprise seven domains, based on the domains in the EUnetHTA model.

Conclusions: MAST provides a structure for future assessment of telemedicine applications. MAST will be tested during 2010–13 in twenty studies of telemedicine applications in nine European countries in the EC project Renewing Health.

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1.Arlbjørn, JS. Process optimization with simple means: The power of visualization. Ind Commer Train. 2011;43:151159.
2.Barlow, J. Building an evidence base for successful telecare implementation – updated report of the Evidence Working Group of the Telecare Policy Collaborative chaired by James Barlow—November 2006. (accessed August 1, 2011)
3.Commission Communication: Telemedicine for the benefit of patients, healthcare systems and societies. COM/2008/689 final. (accessed August 1, 2011)
4.CONSORT statement for RCTs.
5.Craig, P, Dieppe, P, Macintyre, S, Mitchie, S, Nazareth, I, Mark, P. Developing and evaluating complex interventions: The new Medical Research Council guidance. BMJ. 2008;33:979983.
6.Currell, R, Urquhart, C, Wainwright, P, et al. Telemedicine versus face to face patient care: Effects on professional practice and health outcomes. Cochrane Database Syst Rev. 2000;2:CD002098.
7.Drummond, M, Griffin, A, Tarricone, R. Economic evaluation for devices and drugs – same or different? Value Health. 2009;12:402404.
8.Drummond, M, Manca, A, Sculpher, M. Increasing the generalizability of economic evaluations: Recommendations for the design, analysis, and reporting of studies. Int J Technol Assess Health Care. 2005;21:165171.
9.Egger, M, Smith, GD, Altman, D, eds. Systematic reviews in health care. Meta-analysis in context. London: BMJ Books; 2001.
10.Ekeland, AG, Bowes, A, Flottorp, S. Effectiveness of telemedicine: A systematic review of reviews. Int J Med Inform 2010;79:736771.
11.EUnetHTA. HTA Adaptation toolkit – work package 5. October 2008. (accessed August 1, 2011)
12.Hailey, D, Roine, R, Ohinmaa, A. Systematic review of evidence for the benefits of telemedicine. J Telemed Telecare. 2002;8 (Suppl 1):17.
13.Hersh, WR, Helfand, M, Wallace, J, et al. Clinical outcomes resulting from telemedicine intervention: A systematic review. BMC Med Inform Decis Mak. 2001;1:5.
14.Hersch, WR, Hickam, DH, Severance, SM, Dana, TL, Krages, KP, Helfand, M. Telemedicine for the Medicare population: Update. 2006 Evidence Report/Technology Assessment No. 131 (Prepared by the Oregon Evidence-based Practice Center under Contract No. 290-02-0024.) AHRQ Publication No. 06-E007. Rockville, MD: Agency for Healthcare Research and Quality.
15.Lampe, K, Mäkelä, M, Garrido, MV, et al. The HTA Core Model: A novel method for producing and reporting health technology assessments. Int J Technol Assess Health Care. 2009;25:920.
16.Lampe, K, Anttila, H, Pasternack, I. HTA core model handbook. (accessed February 18, 2009).
18.Ohinmaa, A, Hailey, D, Roine, R. Elements for assessment of telemedicine applications. Int J Technol Assess Health Care. 2001;17:190202.
19.Scott, RE, McCarthy, FG, Jennett, PA, et al. Telehealth outcomes: A synthesis of the literature and recommendations for outcome indicators. J Telemed Telecare. 2007;13 (Suppl 2):138.
20.Scriven, M.Evaluation thesaurus. Thousand Oaks, CA: Sage Publications; 1991.
21.Simera, I, Moher, D, Hirst, A, et al. Transparent and accurate reporting increases reliability, utility, and impact of your research: Reporting guidelines and the EQUATOR Network. BMC Med. 2010;8:24.
22.Taylor, P. Evaluating telemedicine systems and services. J Telemed Telecare. 2005;11:167177.
23.The Lewin Group, Inc. Assessment of approaches to evaluating telemedicine. Prepared for: Office of the Assistant Secretary for Planning and Evaluation, Department of Health and Human Services. Contract Number: HHS-10-97-0012, 2000.
24.Whitten, PS, Mair, FS, Haycox, A, May, CR, Williams, TL, Hellmich, S. Systematic review of cost effectiveness studies of telemedicine interventions. Br Med J. 2002;324:14341437.
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International Journal of Technology Assessment in Health Care
  • ISSN: 0266-4623
  • EISSN: 1471-6348
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