Cost analysis of a speech pathology synchronous telepractice service for patients with head and neck cancer
Cost analysis of a speech pathology synchronous telepractice service for patients with head and neck cancer
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DOI：
10.1002/hed.24916
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发表时间：
2017-12-01
影响因子：
2.9
通讯作者：
Kenny, Lizbeth M.
中科院分区：
文献类型：
--
作者：
Burns, Clare L.;Kularatna, Sanjeewa;Kenny, Lizbeth M.
背景：本研究的目的是报告新型同步远程医疗服务的经济成果，该服务为非大都市机构的头颈癌患者提供言语病理学干预。方法：在澳大利亚大型公共癌症服务机构内进行了一项多中心随机对照试验，比较标准护理与新型同步远程医疗模式。收集了与医疗服务成本（员工工资、设备和患者差旅费报销）、患者+/-护理人员成本（差旅费和工资）以及患者报告的生活质量（生活质量评估问卷 4D）相关的数据。 结果：管理了 82 例转诊（39 例标准护理和 43 例同步远程医疗护理）。新的远程医疗服务报告平均医疗服务成本节省 12% (P < .0058)，每位患者每次转诊节省 40.05 美元。据报道，两组的生活质量均得到了同等的积极提高（0.04）。结论：同步远程治疗服务在提供远程专家言语病理学头颈癌干预方面比标准护理提供了成本效益。
Background: The purpose of this study is to report the economic outcomes of a new synchronous telepractice service providing speech pathology intervention to patients with head and neck cancer at nonmetropolitan facilities.Methods: A multisite randomized controlled trial comparing standard care versus a new synchronous telepractice model was conducted within a large Australian public cancer service. Data pertaining to health service costs (staff wages, equipment, and patient travel reimbursement), patient +/- carer costs (travel and wages), and patient reported quality of life (Assessment of Quality of Life questionnaire 4D) were collected.Results: Eighty-two referrals (39 standard care and 43 synchronous telepractice care) were managed. The new telepractice service reported average cost savings of 12% (P < .0058) for the health service and $40.05 saving per patient per referral. An equivalent positive increase in quality of life (0.04) was reported for both groups.Conclusion: The synchronous telepractice service provides cost efficiencies over standard care for providing remote specialist speech pathology head and neck cancer intervention.