A cost-effectiveness analysis of interactive paediatric telecardiology.

Simple item page
dc.contributor.authorSicotte, Claude
dc.contributor.authorLehoux, Pascale
dc.contributor.authorVan Doesburg, Nicolaas
dc.contributor.authorCardinal, Godefroy
dc.contributor.authorLeblanc, Yves
dc.date.accessioned2020-02-12T11:36:06Z
dc.date.available2020-02-12T11:36:06Z
dc.date.issued2004-04-07
dc.description.abstractWe 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
dc.identifier.urihttp://dx.doi.org/10.1258/135763304773391503
dc.identifier.urihttps://lib.digitalsquare.io/xmlui/handle/123456789/57487
dc.relation.uriJournal of telemedicine and telecare
dc.titleA cost-effectiveness analysis of interactive paediatric telecardiology.en
dcterms.abstractWe 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
dcterms.contributorSicotte, Claude
dcterms.contributorLehoux, Pascale
dcterms.contributorVan Doesburg, Nicolaas
dcterms.contributorCardinal, Godefroy
dcterms.contributorLeblanc, Yves
dcterms.identifierhttp://dx.doi.org/10.1258/135763304773391503
dcterms.relationJournal of telemedicine and telecare
dcterms.titleA cost-effectiveness analysis of interactive paediatric telecardiology.en
Files
Collections
mhealth Evidence