Decreasing patient cost and travel time through pediatric rheumatology telemedicine visits.
Decreasing patient cost and travel time through pediatric rheumatology telemedicine visits.
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DOI：
10.1186/s12969-016-0116-2
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发表时间：
2016-09-20
期刊：
影响因子：
--
通讯作者：
Becker ML
中科院分区：
文献类型：
--
作者：
Kessler EA;Sherman AK;Becker ML
在美国，儿科风湿病学家严重短缺。大量前往诊所可能给家庭带来时间和金钱负担。本研究的目的是评估家庭亲自儿科风湿病就诊的成本，并确定远程医疗诊所是否节省了时间和成本。还探讨了与对远程医疗感兴趣有关的因素。在密苏里州的堪萨斯城（亲自护理的主要地点）和160英里外的密苏里州乔普林的远程医疗外展站点，向儿童流变学随访诊所的患者家长和监护人提供了调查。调查问题涉及与预约有关的非医疗、自付费用以及对远程医疗诊所的兴趣。在堪萨斯城的主要诊所，单向行驶的中位距离为40英里[IQR = 18-80]。在乔普林样本中，前往远程医疗诊所的中位距离为60英里[IQR = 20-85]，而在堪萨斯城，同一队列的患者为175英里[IQR = 160-200]（p < 0.001）。当乔普林队列通过远程医疗就诊时，与前往堪萨斯城时相比，他们错过工作和学校的时间更少（分别为p = 0.028，p = 0.003），花在食物上的钱更少（p < 0.001）。乔普林队列和堪萨斯城队列在开车去诊所的里程、错过工作和学校的时间以及花钱购买食物的受试者比例方面没有统计学差异。传统的亲自探视可能给家庭带来经济损失，而远程医疗的使用可以减轻这种损失。远程医疗使诊所就诊的经济负担水平化，因此当乔普林队列通过远程医疗就诊时，他们的费用与堪萨斯城队列相似。
There is a critical shortage of pediatric rheumatologists in the US. Substantial travel to clinics can impose time and monetary burdens on families. The aim of this study was to evaluate the cost of in-person pediatric rheumatology visits for families and determine if telemedicine clinics resulted in time and cost savings. Factors associated with interest in telemedicine were also explored. Surveys were offered to parents and guardians of patients in Pediatric Rheumatology follow-up clinics in Kansas City, Missouri, the primary site of in-person care, and at a telemedicine outreach site 160 miles away, in Joplin, Missouri. Survey questions were asked about non-medical, out-of-pocket costs associated with the appointment and interest in a telemedicine clinic. At the primary Kansas City clinic, the median distance traveled one-way was 40 miles [IQR = 18–80]. In the Joplin sample, the median distance traveled to the telemedicine clinic was 60 miles [IQR = 20–85] compared to 175 miles [IQR = 160–200] for the same cohort of patients when seen in Kansas City (p < 0.001). When the Joplin cohort was seen via telemedicine they missed less time from work and school (p = 0.028, p = 0.003, respectively) and a smaller percentage spent money on food compared to when they had traveled to Kansas City (p < 0.001). There was no statistical difference between the Joplin cohort when they had traveled to Kansas City and the Kansas City cohort in terms of miles driven to clinic, time missed from work and school, and percentage of subjects who spent money on food. Traditional in-person visits can result in a financial toll on families, which can be ameliorated by the use of telemedicine. Telemedicine leveled the economic burden of clinic visits so that when the Joplin cohort was seen via telemedicine, they experienced costs similar to the Kansas City cohort.
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影响因子：
8.3
作者：
O'Neil, Adrienne;Taylor, Barr;Oldenburg, Brian
通讯作者：
Oldenburg, Brian
DOI：
10.1002/art.24087
发表时间：
2009-01-15
期刊：
ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH
影响因子：
--
作者：
Albers, H. M.;Wessels, J. A. M.;Guchelaar, H. J.
通讯作者：
Guchelaar, H. J.
影响因子：
8
作者：
Ray, Kristin N.;Bogen, Debra L.;Mehrotra, Ateev
通讯作者：
Mehrotra, Ateev
影响因子：
4.5
作者：
Castelnuovo, Gianluca;Manzoni, Gian Mauro;Molinari, Enrico
通讯作者：
Molinari, Enrico
DOI：
10.1186/1546-0096-9-26
发表时间：
2011-09-12
期刊：
Pediatric rheumatology online journal
影响因子：
--
作者：
Henrickson M
通讯作者：
Henrickson M