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Titolo:
A cost-minimization analysis of the societal costs of realtime teledermatology compared with conventional care: results from a randomized controlled trial in New Zealand
Autore:
Loane, MA; Oakley, A; Rademaker, M; Bradford, N; Fleischl, P; Kerr, P; Wootton, R;
Indirizzi:
Univ Queensland, Ctr Online Hlth, St Lucia, Qld 4067, Australia Univ Queensland St Lucia Qld Australia 4067 St Lucia, Qld 4067, Australia Waikato Hosp, Dept Dermatol, Hamilton, New Zealand Waikato Hosp HamiltonNew Zealand Dept Dermatol, Hamilton, New Zealand Taupo Hlth Ctr, Taupo, New Zealand Taupo Hlth Ctr Taupo New ZealandTaupo Hlth Ctr, Taupo, New Zealand Patricia Kerr & Associates, Albany, New Zealand Patricia Kerr & Associates Albany New Zealand ates, Albany, New Zealand
Titolo Testata:
JOURNAL OF TELEMEDICINE AND TELECARE
fascicolo: 4, volume: 7, anno: 2001,
pagine: 233 - 238
SICI:
1357-633X(2001)7:4<233:ACAOTS>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
MULTICENTER TELEDERMATOLOGY; DIAGNOSTIC-ACCURACY; NORTHERN-IRELAND; TELECONSULTATIONS; TELEMEDICINE; DERMATOLOGY; PATIENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: Wootton, R Royal Childrens Hosp, Ctr Online Hlth, Level 3,Fdn Bldg, Herston, Qld 4029, Australia Royal Childrens Hosp Level 3,Fdn Bldg Herston Qld Australia 4029
Citazione:
M.A. Loane et al., "A cost-minimization analysis of the societal costs of realtime teledermatology compared with conventional care: results from a randomized controlled trial in New Zealand", J TELEMED T, 7(4), 2001, pp. 233-238

Abstract

A randomized controlled trial was carried out to measure the societal costs of realtime teledermatology compared with those of conventional hospital care in New Zealand. Two rural health centres were linked to a specialist hospital via ISDN at 128 kbit/s. Over 10 months, 203 patients were referred for a specialist dermatological consultation and 26 were followed up, giving a total of 229 consultations. Fifty-four per cent were randomized to the teledermatology consultation and 46% to the conventional hospital consultation. A cost-minimization analysis was used to calculate the total costs of both types of dermatological consultation. The total cost of the 123 teledermatology consultations was NZ$34,346 and the total cost of the 106 conventional hospital consultations was NZ$30,081. The average societal cost of the teledermatology consultation was therefore NZ$279.23 compared with NZ$283.79 for the conventional hospital consultation. The marginal cost of seeingan additional patient was NZ$135 via teledermatology and NZ$284 via conventional hospital appointment. From a societal viewpoint, and assuming an equal outcome, teledermatology was a more cost-efficient use of resources thanconventional hospital care.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 02:49:33