Impact of a University-Based Outpatient Telemedicine Program on Time Savings, Travel Costs, and Environmental Pollutants
Impact of a University-Based Outpatient Telemedicine Program on Time Savings, Travel Costs, and Environmental Pollutants
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DOI：
10.1016/j.jval.2017.01.014
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发表时间：
2017-04-01
期刊：
影响因子：
4.5
通讯作者：
Marcin, James P.
中科院分区：
文献类型：
--
作者：
Dullet, Navjit W.;Geraghty, Estella M.;Marcin, James P.
目的：本研究的目的是估计使用远程医疗门诊专科咨询与大学远程医疗计划的旅行相关的和环境的节省。研究方法：该研究旨在回顾性分析1996年7月至2013年12月期间加州戴维斯大学卫生系统（UCDHS）的远程医疗咨询数据库。旅行距离和旅行时间之间的病人的家，远程医疗诊所和UCDHS的人诊所计算。通过确定参加远程医疗预约所产生的里程补偿率和排放量与如果必须访问中心站点所产生的里程补偿率和排放量之间的差异，计算了旅行费用节省和环境影响。结果：在11，281名独特患者中确定了19，246次咨询。远程医疗就诊总共节省了5，345，602英里的旅行距离，总共节省了4，708，891分钟或8.96年的旅行时间，总共节省了2，882，056美元的直接旅行成本。平均每次咨询节省的往返距离为278英里，平均旅行时间节省为245分钟，平均成本节省为156美元。远程医疗咨询总共减少了1969公吨二氧化碳、50公吨一氧化碳、3.7公吨氮氧化物和5.5公吨挥发性有机化合物的排放。结论：这项研究表明，积极的影响，卫生系统的门诊远程医疗计划对病人的旅行时间，病人的旅行成本和环境污染物。版权所有（C）2017，国际药物经济学和结局研究学会（ISPOR）。爱思唯尔公司出版
Objective: The objective of this study was to estimate travel-related and environmental savings resulting from the use of telemedicine for outpatient specialty consultations with a university telemedicine program. Methods: The study was designed to retrospectively analyze the telemedicine consultation database at the University of California Davis Health System (UCDHS) between July 1996 and December 2013. Travel distances and travel times were calculated between the patient home, the telemedicine clinic, and the UCDHS in-person clinic. Travel cost savings and environmental impact were calculated by determining differences in mileage reimbursement rate and emissions between those incurred in attending telemedicine appointments and those that would have been incurred if a visit to the hub site had been necessary. Results: There were 19,246 consultations identified among 11,281 unique patients. Telemedicine visits resulted in a total travel distance savings of 5,345,602 miles, a total travel time savings of 4,708,891 minutes or 8.96 years, and a total direct travel cost savings of $2,882,056. The mean per consultation round-trip distance savings were 278 miles, average travel time savings were 245 minutes, and average cost savings were $156. Telemedicine consultations resulted in a total emissions savings of 1969 metric tons of CO2, 50 metric tons of CO, 3.7 metric tons of NOx, and 5.5 metric tons of volatile organic compounds. Conclusions: This study demonstrates the positive impact of a health system's outpatient telemedicine program on patient travel time, patient travel costs, and environmental pollutants. Copyright (C) 2017, International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc.