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Titolo:
A logit model for the effect of telecardiology on acute newborn transfers
Autore:
Rendina, MC; Carrasco, N; Wood, B; Cameron, A; Bose, C;
Indirizzi:
Univ N Carolina, Sch Publ Hlth, Dept Hlth Policy & Adm, Chapel Hill, NC 27599 USA Univ N Carolina Chapel Hill NC USA 27599 & Adm, Chapel Hill, NC 27599 USA Univ N Carolina, Dept Pediat, Chapel Hill, NC 27515 USA Univ N Carolina Chapel Hill NC USA 27515 ediat, Chapel Hill, NC 27515 USA
Titolo Testata:
INTERNATIONAL JOURNAL OF TECHNOLOGY ASSESSMENT IN HEALTH CARE
fascicolo: 2, volume: 17, anno: 2001,
pagine: 244 - 249
SICI:
0266-4623(200121)17:2<244:ALMFTE>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
NEONATAL INTENSIVE-CARE; TELEMEDICINE; COST;
Keywords:
telemedicine; cardiology; transport medicine; neonatal intensive care; telecardiology;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Rendina, MC Univ N Carolina, Sch Publ Hlth, Dept Hlth Policy & Adm, 1101 McGavaran Greenberg Hall,CB 7400, Chapel Hill, NC 27599 USA Univ N Carolina 1101 McGavaran Greenberg Hall,CB 7400 Chapel Hill NC USA 27599
Citazione:
M.C. Rendina et al., "A logit model for the effect of telecardiology on acute newborn transfers", INT J TE A, 17(2), 2001, pp. 244-249

Abstract

The deregionalization of neonatal intensive care in the United States has shifted the site of care for many newborn infants away from academic medical centers where subspecialty support is available. Objective: To investigate the effect of immediate echocardiogram interpretation via telemedicine on rates of neonatal transfer to academic medical centers. Methods: A legit model was developed to predict the probability of transfer from two regional level 3 neonatal intensive care units to academic medical centers. One of these units implemented a telecardiology program and theother acted as a comparison institution with on-site cardiology expertise,The telecardiology intervention began 18 months into the 36-month study period. Subjects: infants (n = 2,142) admitted to neonatal intensive care at either of the two institutions during calendar years 1994 through 1996. Results: A statistically significant reduction in the rate of transfer to academic medical centers was observed. Telecardiology was associated with a58% reduction of such transfers (p = .001, 95% CI = 30%, 75%). No such reduction was noted at the comparison institution. It is estimated that approximately 30 transfers were eliminated during tile study period, resulting inthe elimination of approximately $150,000 in hospital charges, In addition, the infants that were transferred after the adoption of telemedicine weremore often transferred to their telemedicine partner institution (p < .02).

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 07:05:45