Browsing by Author "Leblanc, Yves"
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- ItemA cost-effectiveness analysis of interactive paediatric telecardiology.(2004-04-07) Sicotte, Claude; Lehoux, Pascale; Van Doesburg, Nicolaas; Cardinal, Godefroy; Leblanc, YvesWe analysed the cost effectiveness of a teleconsultation service after five years of operation The service provides diagnostic consultation at a distance for children suffering from cardiac pathologies A retrospective study was performed with all 78 infants who had received a paediatric cardiology teleconsultation over a four year period from January 1998 The cost effectiveness of telecardiology was compared with that of the conventional means of providing services Teleconsultation proved to be an effective and reliable method of enhancing access to tertiary care The number of patient journeys both emergency transfers and semi urgent or elective visits to the tertiary care centre was reduced by 42 However the cost analysis demonstrated that teleconsultation did not result in overall cost savings the total cost of telecardiology was C dollars 272 327 and the total cost of conventional care would have been C dollars 157 212 There were direct savings for patients but not for the health care system because of the high cost of the equipment and telecommunication fees Telemedicine therefore represented a supplementary cost of C dollars 1500 per patient In summary telemedicine added to cost but increased effectiveness The incremental cost effectiveness ratio of teleconsultation was estimated to C dollars 3488 per patient journey avoided
- ItemFeasibility and outcome evaluation of a telemedicine application in speech-language pathology.(2003-11-05) Sicotte, Claude; Lehoux, Pascale; Fortier-Blanc, Julie; Leblanc, YvesThis evaluative study assessed the feasibility and outcome of delivering speech language services from a distance to children and adolescents who stutter All six patients who formed the first cohort seen in the telespeech programme were included in the study The results demonstrated that interactive videoconferencing can provide a feasible and effective care delivery model Patient attendance was maintained throughout the intervention All participants showed improved fluency Stuttering ranged from 13 to 36 before treatment and 2 to 26 after treatment All participants maintained at least part of their improved fluency during the six month follow up when stuttering ranged from 4 to 32 The study demonstrates that full assessment and treatment of stuttering in children and adolescents can be accomplished successfully via telemedicine