Maccabi proactive Telecare Center for chronic conditions - the care of frail elderly patients

Avi Porath, Angela Irony, Avital Segal Borobick, Shuruk Nasser, Ateret Malachi, Naama Fund, Galit Kaufman

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


Background: In 2012, Maccabi Healthcare Services founded Maccabi Telecare Center (MTC), a multi-disciplinary healthcare service providing telemedical care to complex chronic patients. The current paper describes the establishment and operation of the MTC center, from the identification of the need for the service, through the design of its solution elements, to outcomes in several areas of care. We analyze the effects of the program on elderly frail patients, a growing population with complex and costly needs. Methods: Observational quasi-experimental analyses using propensity score matching was used to assess the effect of MTC's operation on utilization outcomes including direct costs. Results: Results for frail elderly patients with complex chronic conditions show significant reductions in hospitalization days and hospitalization costs. MTC interventions also entailed lower overall average monthly costs in frail patients. Conclusion: We conclude that a proactive telehealth service for complex chronic patients using education, empowerment to self-management, and coordination of care is a cost-effective means of improving quality care and health outcomes in frail elderly patients.

Original languageEnglish
Article number68
JournalIsrael Journal of Health Policy Research
Issue number1
StatePublished - 11 Dec 2017


  • Elderly patient
  • Frailty
  • Health maintenance organizations
  • Remote consultation

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health


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