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Titolo:
Clinical effectiveness and cost analysis of patient referral by videoconferencing in orthopaedics
Autore:
Harno, K; Arajarvi, E; Paavola, T; Carlson, C; Viikinkoski, P;
Indirizzi:
Peijas Hosp, Dept Surg, Vantaa, Finland Peijas Hosp Vantaa FinlandPeijas Hosp, Dept Surg, Vantaa, Finland Helsinki Univ Technol, Dept Ind Engn & Management, FIN-02150 Espoo, Finland Helsinki Univ Technol Espoo Finland FIN-02150 , FIN-02150 Espoo, Finland Univ Helsinki, Cent Hosp, Dept Med Adm, Helsinki, Finland Univ Helsinki Helsinki Finland nt Hosp, Dept Med Adm, Helsinki, Finland Myyrmaki Hlth & Social Welf Ctr, Vantaa, Finland Myyrmaki Hlth & Social Welf Ctr Vantaa Finland elf Ctr, Vantaa, Finland Hyvinkaa Hosp, Dept Internal Med, Hyvinkaa, Finland Hyvinkaa Hosp Hyvinkaa Finland sp, Dept Internal Med, Hyvinkaa, Finland
Titolo Testata:
JOURNAL OF TELEMEDICINE AND TELECARE
fascicolo: 4, volume: 7, anno: 2001,
pagine: 219 - 225
SICI:
1357-633X(2001)7:4<219:CEACAO>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
TELEMEDICINE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Harno, K Univ Helsinki, Cent Hosp, Dept Med Adm, PL 340, HUS, Finland UnivHelsinki PL 340 HUS Finland Med Adm, PL 340, HUS, Finland
Citazione:
K. Harno et al., "Clinical effectiveness and cost analysis of patient referral by videoconferencing in orthopaedics", J TELEMED T, 7(4), 2001, pp. 219-225

Abstract

The clinical effectiveness and costs of videoconferencing in orthopaedics between primary and secondary care were examined in an eight-month prospective, comparative study. The general surgery outpatient clinics of two Finnish district hospitals were compared: Peijas Hospital, with telemedicine, and Hyvinkaa Hospital, without it. The three study primary-care centres referred a total of 419 adult patients to the outpatient clinics. The population-based number of referrals to Peijas Hospital was similar to that to Hyvinkaa Hospital after adjusting for the proportion of older people living in the Hyvinkaa Hospital municipalities. Of the 225 patients referred to Peijas Hospital, 168 (75%) were given appointments at the outpatient clinic of surgery and the rest of the referred patients received a teleconsultation. Allpatients referred to Hyvinkaa Hospital were given appointments at the outpatient clinic. The direct costs of an outpatient visit were 45% greater perpatient than for a teleconsultation, with a marginal cost decrease of EU48for every new teleconsultation. A cost-minimization analysis of the alternative interventions showed a net benefit of EU2500 in favour of teleconsultations. The use of videoconferencing between primary and secondary care wasmodest in orthopaedics, although the use of this telemedicine method was shown to reduce direct costs and be cost-effective.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/04/20 alle ore 18:11:57