Clinical effectiveness and cost analysis of patient referral by videoconferencing in orthopaedics.

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dc.contributor.authorHarno, K
dc.contributor.authorArajärvi, E
dc.contributor.authorPaavola, T
dc.contributor.authorCarlson, C
dc.contributor.authorViikinkoski, P
dc.date.accessioned2020-02-12T12:04:59Z
dc.date.available2020-02-12T12:04:59Z
dc.date.issued2001-08-16
dc.description.abstractThe 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 Hyvink 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 Hyvink Hospital after adjusting for the proportion of older people living in the Hyvink 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 All patients referred to Hyvink Hospital were given appointments at the outpatient clinic The direct costs of an outpatient visit were 45 greater per patient than for a teleconsultation with a marginal cost decrease of EU48 for 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 was modest in orthopaedics although the use of this telemedicine method was shown to reduce direct costs and be cost effective
dc.identifier.urihttp://dx.doi.org/Not available
dc.identifier.urihttps://lib.digitalsquare.io/xmlui/handle/123456789/59453
dc.relation.uriJournal of telemedicine and telecare
dc.titleClinical effectiveness and cost analysis of patient referral by videoconferencing in orthopaedics.en
dcterms.abstractThe 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 Hyvink 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 Hyvink Hospital after adjusting for the proportion of older people living in the Hyvink 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 All patients referred to Hyvink Hospital were given appointments at the outpatient clinic The direct costs of an outpatient visit were 45 greater per patient than for a teleconsultation with a marginal cost decrease of EU48 for 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 was modest in orthopaedics although the use of this telemedicine method was shown to reduce direct costs and be cost effective
dcterms.contributorHarno, K
dcterms.contributorArajärvi, E
dcterms.contributorPaavola, T
dcterms.contributorCarlson, C
dcterms.contributorViikinkoski, P
dcterms.identifierhttp://dx.doi.org/Not available
dcterms.relationJournal of telemedicine and telecare
dcterms.titleClinical effectiveness and cost analysis of patient referral by videoconferencing in orthopaedics.en
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