The impact of telemedicine on patients' cost savings: Some preliminary findings
The impact of telemedicine on patients' cost savings: Some preliminary findings
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DOI：
10.1089/153056203772744680
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发表时间：
2003-12-01
期刊：
影响因子：
--
通讯作者：
Denny, GS
中科院分区：
文献类型：
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作者：
Bynum, AB;Irwin, CA;Denny, GS
本研究评估了阿肯色医学大学 (UAMS) 1998 年至 2002 年远程医疗项目中患者节省的费用。根据性别、年龄、种族、教育程度、职业、家庭年收入、健康保险状况以及家庭和社区规模来评估患者通过远程医疗节省的费用差异。检查患者节省成本的变量包括医疗护理的旅行距离、缺勤时间和家庭开支。研究人群由阿肯色州农村地区自行选择的远程医疗患者组成（N = 410 名咨询患者）。结果表明，如果没有远程医疗，94% 的患者将前往 70 英里以上的地方寻求医疗服务； 84% 会缺勤一天； 74% 的人会花费 75-150 美元用于额外的家庭开支。通过远程医疗，92% 的患者节省了 32 美元的燃料费用； 84% 的人节省了 100 美元的工资； 74% 的家庭节省了 75-150 美元的开支。与大家庭和居住在较大农村社区的患者相比，独居 (p < 0.001) 和较小农村社区 (p = 0.002) 的患者在没有远程医疗的情况下错过一天工作的可能性明显更大。与男性和家庭年收入 25,000 美元或以下的患者相比，女性 (p = 0.040) 和家庭年收入超过 25,000 美元 (P = 0.005) 的患者在没有远程医疗的情况下家庭开支超过 150 美元的可能性明显更大。
This study evaluated patients' cost savings in a telehealth project at the University of Arkansas for Medical Sciences' (UAMS) during 1998-2002. Differences in patients' cost savings from telemedicine were assessed by gender, age, ethnicity, education, occupation, annual household income, health insurance status, and household and community size. Variables examined for patients' cost savings included travel distance for medical care, missed days at work, and family expenses. The study population consisted of self-selected telemedicine patients in rural Arkansas (N = 410 consults). Results suggest that without telemedicine, 94% of patients would travel greater than 70 miles for medical care; 84% would miss one day of work; and 74% would spend $75-$150 for additional family expenses. With telemedicine, 92% of patients saved $32 in fuel costs; 84% saved $100 in wages; and 74% saved $75-$150 in family expenses. Patients living alone (p < 0.001) and in smaller rural communities (p = 0.002) were significantly more likely to miss one day of work without telemedicine than patients with larger households and those residing in larger rural communities. Females (p = 0.040) and patients with a annual household income over $25,000 (P = 0.005) were significantly more likely to have family expenses over $150 without telemedicine than males and patients with a household income of $25,000 or less.