A review of the costs of telepsychiatry
A review of the costs of telepsychiatry
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DOI：
10.1176/appi.ps.54.7.976
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发表时间：
2003-07-01
影响因子：
3.8
通讯作者：
Gangure, DP
中科院分区：
文献类型：
--
作者：
Hyler, SE;Gangure, DP
目的：远程精神病学是否值得花费，或者它是否值得自己的问题是有争议的。本研究探讨这个问题，通过回顾远程精神病学文献，重点是成本。研究方法：从1956年到2002年，通过MEDLINE、PsycINFO和交叉引用的参考书目，确定了大约380项关于远程精神病学的研究。其中，有12项研究的样本超过10人或项目，专门关注远程精神病学的成本。结果如下：12项研究中使用的成本检查方法包括成本可行性、成本调查、远程精神病学和面对面精神病学成本的直接比较以及成本分析。得出的结论是，在报告的七项研究中，远程精神病学是值得的。一项研究报告说，远程精神病学在经济上是不可行的。三项关于成本效益的研究报告了收支平衡的咨询数量，这使得远程精神病学在成本上与面对面精神病学相当。一项审查的结论是，由于缺乏明确的业务计划，难以确定任何方案是否具有成本效益。结论：远程精神治疗在某些情况下具有成本效益，如果使用超过与提供面对面精神病服务的成本有关的收支平衡点，则在经济上是可行的。政府或私人卫生机构是否足够重视远程精神病学，以承担其成本，这是一个有待回答的问题。
Objectives: The issue of whether telepsychiatry is worth the cost or whether it pays for itself is controversial. This study investigated this question by reviewing telepsychiatry literature that focused on cost. Methods: Approximately 380 studies on telepsychiatry published from 1956 through 2002 were identified through MEDLINE, PsycINFO, and cross-referenced bibliographies. Of these, 12 studies with samples of more than ten persons or programs focused specifically on the cost of telepsychiatry. Results: The methods of examining cost used in the 12 studies were cost-feasibility, cost surveys, direct comparison of costs of telepsychiatry and in-person psychiatry, and cost analysis. It was concluded that in seven of the studies reported, telepsychiatry was worth the cost. One study reported that telepsychiatry was not financially viable. Three studies' of cost-effectiveness reported the break-even number of consultations, the number that make telepsychiatry comparable in cost to in-person psychiatry. One review concluded that the lack of a clear business plan contributed to the difficulty of determining whether any of the programs was cost-effective. Conclusions: Telepsychiatry can be cost-effective in selected settings and can be financially viable if used beyond the break-even point in relation to the cost of providing in-person psychiatric services. Whether governmental or private health agencies value telepsychiatry enough to assume its cost is a question that remains to be answered.