{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T04:03:14Z","timestamp":1773028994672,"version":"3.50.1"},"reference-count":0,"publisher":"IOS Press","isbn-type":[{"value":"9781643682846","type":"print"},{"value":"9781643682853","type":"electronic"}],"license":[{"start":{"date-parts":[[2022,5,25]],"date-time":"2022-05-25T00:00:00Z","timestamp":1653436800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,5,25]]},"abstract":"<jats:p>Objective: To assess the efficiency of tele-expertise (tele-ECG) for patients and for health facilities in managing patients with cardiovascular diseases (CVDs) in primary health care in Cameroon. Method: This study was a medico-economic study combining two approaches: cost minimization and cost-effectiveness analysis. It was conducted alongside the previous published controlled multicenter study carried out in Cameroon\u2019s two health facilities where tele-ECG has been implemented (intervention centres) and two other where telemedicine has been not implemented (control centres). Results: The average total cost for patients was 9 286 F CFA (US$: 16) in the intervention centres compared to 28 357 F CFA (US$: 49) in the control centres (p &lt;0.01). The calculated ICER favouring tele-ECG was 25 459.6 F CFA (US$: 44). Discussion: Telemedicine is efficient for managing patients with CVDs in primary health care in Cameroon. It enables health facilities in remote areas to offer new healthcare services at a lower cost and improve patients\u2019 financial access to healthcare.<\/jats:p>","DOI":"10.3233\/shti220623","type":"book-chapter","created":{"date-parts":[[2022,5,25]],"date-time":"2022-05-25T12:18:13Z","timestamp":1653481093000},"source":"Crossref","is-referenced-by-count":2,"title":["Evaluation of the Efficiency of Telemedicine in the Management of Cardiovascular Diseases in Primary Healthcare in Sub-Saharan Africa: A Medico-Economic Study in Cameroon"],"prefix":"10.3233","author":[{"given":"Georges","family":"Bediang","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Biomedical Sciences, University of Yaound\u00e9 I, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris Nad\u00e8ge","family":"Nganou-Gnindjio","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Biomedical Sciences, University of Yaound\u00e9 I, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yannick","family":"Kamga","sequence":"additional","affiliation":[{"name":"Department for the Control of Disease, Epidemics and Pandemics, Ministry of Public Health, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean Serge","family":"Ndongo","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Biomedical Sciences, University of Yaound\u00e9 I, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fred-Cyrille","family":"Goethe Doualla","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Biomedical Sciences, University of Yaound\u00e9 I, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheick Oumar","family":"Bagayoko","sequence":"additional","affiliation":[{"name":"Facult\u00e9 de M\u00e9decine, de Pharmacie et d\u2019Odonto-Stomatologie, University of Bamako, Mali"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel","family":"Nko\u2019o","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Biomedical Sciences, University of Yaound\u00e9 I, Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7437","container-title":["Studies in Health Technology and Informatics","Challenges of Trustable AI and Added-Value on Health"],"original-title":[],"link":[{"URL":"https:\/\/ebooks.iospress.nl\/pdf\/doi\/10.3233\/SHTI220623","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,25]],"date-time":"2022-05-25T12:18:15Z","timestamp":1653481095000},"score":1,"resource":{"primary":{"URL":"https:\/\/ebooks.iospress.nl\/doi\/10.3233\/SHTI220623"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,25]]},"ISBN":["9781643682846","9781643682853"],"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/shti220623","relation":{},"ISSN":["0926-9630","1879-8365"],"issn-type":[{"value":"0926-9630","type":"print"},{"value":"1879-8365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,25]]}}}