Tele Sa�l�k Uygulamalar�n�n Sa�l�k Y�netiminde Maliyete Etkisi: Sistematik Bir Derleme

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Tele Sa�l�k Uygulamalar�n�n Sa�l�k Y�netiminde Maliyete Etkisi: Sistematik Bir Derleme [Journal of Health and Nursing Management]

Journal of Health and Nursing Management. 2024; 11(2): 219-232 | DOI: 10.54304/SHYD.2024.27879

Tele Sa�l�k Uygulamalar�n�n Sa�l�k Y�netiminde Maliyete Etkisi: Sistematik Bir Derleme

Yusuf Sar�¹, �zg�l �rsal², �zlem �rsal³
¹Eski�ehir Osmangazi �niversitesi, Sa�l�k Bilimleri Enstit�s�, Hem�irelikte Y�netim, Eski�ehir, T�rkiye
²Eski�ehir Osmangazi �niversitesi, �ktisadi ve �dari Bilimler Fak�ltesi, ��letme B�l�m�, Y�netim ve Organizasyon, Eski�ehir, T�rkiye
³Eski�ehir Osmangazi �niversitesi, Sa�l�k Bilimleri Fak�ltesi, Halk Sa�l�� Hem�ireli�i, Eski�ehir, T�rkiye

Ama�: Bu sistematik derlemede, tele sa�l�k uygulamalar�n�n sa�l�k y�netiminde maliyet etkisinin incelenmesi ama�lanm��t�r.
Y�ntem: �al��ma, Pubmed, Cochrane, Science Direct, ProQuest Central, Dergipark, Ebscohost veri tabanlar�ndan yararlan�larak ger�ekle�tirilmi�tir. P�COS �l��tlerine uyan �sa�l�k hizmetleri y�netimi, hem�irelik y�netimi, tele sa�l�k ve maliyet� anahtar s�zc�kleri kullan�lm��, 11 makale PRISMA-P kontrol listesi ile irdelenmi�tir.
Bulgular: Yedi �lkede, 48-509.427 hasta, d�rt toplum sa�l�� merkezi, 20 sa�l�k tesisi ve 550 hastanenin sa�l�k y�netiminde, en az alt� hafta, en fazla bir y�l s�resinde, tele sa�l�k uygulamalar�ndan yedi telefon, bir giyilebilir cihaz ve d�rt ulusal Elektronik Sa�l�k Kay�t Sistemi (ESKS) olmak �zere, 11 farkl� tele sa�l�k uygulamas� kullan�lm��t�r. Tele sa�l�k uygulamalar�n�n; alt� �al��mada sa�l�k bak�m maliyetini, bir �al��mada toplumsal maliyeti, bir �al��mada tesis sermayesi ve tekrarlayan maliyeti ve bir �al��mada art�ml� maliyet etkinlik oran�n� azaltt��, be� �al��mada maliyet etkili oldu�u, iki �al��mada maliyet yarar sa�lad�� belirtilmi�tir.
Sonu�: Tele sa�l�k uygulamalar�, sa�l�k y�netiminde maliyet etkililik, maliyet yarar ve bak�m maliyetinde etkili sonu�lar vermektedir. T�m sa�l�k kurum/kurulu�lar�na, telefon ve ulusal ESKS ile maliyet analiz tekniklerinin kullan�lmas� durumunda, sa�l�k ve hem�irelik y�neticileriyle, politikac�lara �nemli katk� sa�lanacakt�r.

Anahtar Kelimeler: Tele sa�l�k, sa�l�k y�netimi, y�netim, hem�irelik, bak�m maliyeti, maliyet

The Effect of Telehealth Applications on Cost in Health Management: A Systematic Review

Yusuf Sar�¹, �zg�l �rsal², �zlem �rsal³
¹Eskisehir Osmangazi University, Institute of Health Sciences, Management in Nursing, Eskisehir, T�rkiye
²Eski�ehir Osmangazi University, Faculty of Economics and Administrative Sciences, Department of Business Administration, Management and Organization, Eski�ehir, T�rkiye
³Eskisehir Osmangazi University, Faculty of Health Sciences, Public Health Nursing, Eskisehir, T�rkiye

Aim: In this systematic review, it is aimed to examine the effect of telehealth applications on the cost of health management.
Method: All articles were taken from the databases of Pubmed, Cochrane, ScienceDirect, ProQuest Central, Dergipark, Ebscohost without any year coverage. A total of 11 results with English and Turkish keywords that meet the PICOS criteria were included in the evaluation. The PRISMA-P checklist was used in the compilation of the systematic encryption protocol and in the article writing.
Results: While cost-effectiveness, cost-benefit (number of nurses, Charlson comorbidity index, quality-adjusted life expectancy(QALY), disability-adjusted life-year(DALY)) predominate with telehealth applications, health care management, facility capital, and incremental cost-effectiveness rate has decreased. There is no 2 difference during the reduction of cost benefits (cost of admission to hospital, cost of hospitalization, cost of death after drug treatment and harm prevented by vaccination, hospital resource use, hospital resource use, hospital stay and waiting time) with telehealth applications.
Conclusion: Telehealth applications health management costs were oriented in effectiveness, cost benefit and cost of care. If telehealth applications are integrated in all health departments, especially in the digital hospitals of the Ministry of Health, it will make significant contributions to health and care management about care costs.

Keywords: Telehealth, health management, cost of care, nursing, management, cost

Yusuf Sar�, �zg�l �rsal, �zlem �rsal. The Effect of Telehealth Applications on Cost in Health Management: A Systematic Review. Journal of Health and Nursing Management. 2024; 11(2): 219-232

Sorumlu Yazar: Yusuf Sar�, T�rkiye

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