Figure 9. Forest plot of rejection. Risk Rate (RR) with 95%
confidence interval (CI) between eHealth intervention group and control
groups.
6.Patientsatisfaction
Patient satisfaction was measured in
only three of nine reviewed studies. McGillicuddy et al. (19 )
assessed the effect of text reminders and electronic medication tray
with reminder function on Medication Compliance. Participants reported
high overall satisfaction with the mHealth system (average score 4.8/5
point Likert scale: 1= strongly disagree-5 = strongly agree). In Fleming
et al(22 ) study, the mHealth app has personalized reminders,
including timely medication reminders, automated messages triggered by
missed doses or scheduled health monitoring. 93% of participants were
satisfied with the simple use of mHealth app. Jung et al. (23 )
assessed the effect of with texts and pill box alarms on
medication adherence and their
research suggested that overall satisfaction with the information and
communication technology (ICT)-based centralized monitoring system was
higher than neutral, even though most users were in their 50s or older.
Cost-EffectivenessEconomic evaluations were carried out in only two of nine reviewed
studies. Two studies have shown that eHealth intervention can improve
medication compliance(25 ) and reduce rejection(27 ), with
significant cost saving by, for example, fewer admission rates and
shorter lengths of unplanned hospitalization(25 ), and
reductions the cost of diagnosis and treatment of
rejection(27 ). It is important to note that neither study fully
assessed direct and indirect costs, which limits the reliability of
the conclusions.