Canada told move to telemedicine will save billions

Researchers in Canada have said the increased use of telemedicine in Canada through teleconsultations between patients and their primary care provider could lead to benefits for patients, society and the economy.

The study adds that the benefits are such that they could be reaped by other nations around the world.

The study from the not-for-profit research organisation RAND Europe puts the economic value of time saved, through fewer hours spent on travelling to appointments and waiting, could be up to CA$ 5 billion alone each year.

The study’s evidence review showed that telemedicine can make it easier and more convenient for patients to engage with their healthcare providers, leading to more flexible and real-time care and, with some health conditions, can lead to better patient outcomes. Telemedicine can overcome geographic barriers and be particularly beneficial for patients in rural and Indigenous communities where there is a shortage of doctors.

The study also suggests that telemedicine could benefit the Canadian health system through more efficient types of consultations, fewer missed appointments and reducing unnecessary use of emergency care services.

Researchers put an economic value on the time saved by comparing a potential increase in teleconsultations in primary care settings to a baseline corresponding to pre-COVID-19 use. They used a macroeconomic model using data from the Canadian economy to calculate the cost.

Some of the time saved will have a positive effect on productivity, such as through fewer working hours lost, and some will increase available leisure time. The analysis showed that an increased uptake of 50% could lead to economic savings of up to CA$ 5 billion annually in the country

“The reduced need to travel and the potential reduction in waiting time for patients are important convenience factors and also result in potentially positive effects on the wider economy,” said Marco Hafner, the study’s lead author and a senior economist at RAND Europe. “However, for some people and types of health conditions, replacing face-to-face consultations with remote consultations will not be suitable.”

The researchers added the direct healthcare cost savings that could result from fewer emergency department visits and missed appointments if teleconsultations could be offered to patients. For example, if 50% of unnecessary emergency department visits and missed appointments could be averted, the Canadian healthcare system would save up to CA$150 million as a result.

The study recommended several actions that could be taken to improve access to telemedicine. Many of these recommendations are applicable internationally it added. These include the national harmonisation of electronic medical records, the improvement of digital literacy skills for practitioners and patients and the modification of the physician fee system. The report also found that closer cooperation among key Canadian stakeholders could help ensure universal access to telemedicine, especially in remote and Indigenous communities.

Hafner added: “Despite governments temporarily lifting some barriers to allow the broader use of telemedicine, the COVID-19 pandemic has emphasised the presence of many remaining challenges. Several existing barriers would have to be addressed to support a more sustained uptake in telemedicine after COVID-19 and unlock some of the potential associated with its increased use.”

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