Economic Analysis of Telemedicine and the Teledermatology Paradigm
Economic Analysis of Telemedicine and the Teledermatology Paradigm
复制标题
DOI：
10.1089/tmj.2009.0100
复制
发表时间：
2010-03-01
期刊：
影响因子：
--
通讯作者：
Whited, John D.
中科院分区：
文献类型：
--
作者：
Whited, John D.
经济方面的考虑是远程医疗计划规划和执行中的一个重要组成部分。这篇综述的目的是让读者熟悉与远程医疗计划分析相关的经济概念。将讨论与远程医疗有关的经济观点、成本分配、经济分析的类型和常见问题。还将考察社会视角、医疗保健系统视角、患者视角、固定成本与变动成本、劳动力成本以及成本效益分析与其他类型的经济分析之间的区别。远程皮肤病文献中的例子将被用作一个范例，以说明这些概念如何整合到远程皮肤病系统的现有分析中。远程皮肤病显示出作为一种节省成本的医疗保健提供系统的前景，其结果可与传统护理过程相媲美或更好。文献还指出了经济学视角在分析结果和解释中的重要性。
Economic considerations are an important component in the planning and execution of a telemedicine program. The goal of this review is to familiarize readers with economic concepts relevant to the analysis of telemedicine programs. Economic perspectives, cost attribution, types of economic analysis, and commonly encountered problems will be discussed as they pertain to telemedicine. Societal perspectives, healthcare system perspectives, patient perspectives, fixed versus variable costs, labor costs, and distinctions between cost-effectiveness analyses and other types of economic analysis also will be examined. Examples from the teledermatology literature will be used as a paradigm to illustrate how these concepts are integrated into existing analyses of teledermatology systems. Teledermatology shows promise as a cost-saving healthcare delivery system with outcomes comparable to or better than those of conventional care processes. The literature also points out the importance of economic perspectives in the findings and interpretation of an analysis.