Value-chain analysis of a rural health program: toward understanding the cost benefit of telemedicine applications.

Academic Article


  • While telemedicine's clinical effectiveness and educational benefits are accepted, its cost-effectiveness is controversial. This study focuses on telemedicine's cost-effectiveness from a provider's perspective. Reviews of the cost-effectiveness literature in telemedicine are critical of past studies' (a) methodological and analytical weaknesses; (b) focus on answering "Can we do this?" rather than "Should we do this?"; and (c) emphasis on patient benefits. Value chain analysis examines structural and executional cost drivers; a self-sustaining business model balances the cost and value associated with each telemedicine activity. We illustrate this analysis in a rural health program, examining teleradiography and telerehabilitation.
  • Authors

    Published In

  • Hospital Topics  Journal
  • Author List

  • Gamble JE; Savage GT; Icenogle ML
  • Start Page

  • 10
  • End Page

  • 17
  • Volume

  • 82
  • Issue

  • 1