Economic Evaluation of Teledentistry in Cleft Lip and Palate Patients
Economic Evaluation of Teledentistry in Cleft Lip and Palate Patients
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DOI：
10.1089/tmj.2017.0138
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发表时间：
2017-11-27
影响因子：
4.7
通讯作者：
Hallett, Kerrod
中科院分区：
文献类型：
--
作者：
Teoh, Jonathan;Hsueh, Arthur;Hallett, Kerrod
目的：评估远程牙科（TD）在提供专科牙科服务，在皇家儿童医院（RCH）的农村和地区的患者，并进行经济评估，通过建立一个决策模型，以估计远程咨询的成本和有效性相比，在RCH.Methods的标准协商：进行了基于模型的分析，以确定在RCH实施TD的潜在成本。结果衡量标准是及时咨询（患者是否根据建议的时间表在适当的时间内出现）。牙科记录在RCH的那些谁提出的正畸或儿科牙科咨询进行了评估。成本效益分析（CEA），比较TD与传统的咨询方法，进行了。单向敏感性分析进行测试的鲁棒性的results.Results和材料：共确定了367 TD适当的咨询，其中241及时（65.7%）。RCH咨询的平均费用为431.29澳元，TD咨询的平均费用为294.35澳元。这意味着每次预约节省136.95澳元。CEA发现TD是一个主要的选择，每增加一次及时咨询可节省3160.81澳元。该模型表明，RCH可以腾出36.7天的门诊时间来治疗其他患者并扩大容量。这些结果是强大的进行单向敏感性analysis.Conclusion：当采取社会的角度来看，TD的实施可能是一个具有成本效益的替代品相比，面对面的咨询在RCH的标准做法。
Objective:To assess the use of Teledentistry (TD) in delivering specialist dental services at the Royal Children's Hospital (RCH) for rural and regional patients and to conduct an economic evaluation by building a decision model to estimate the costs and effectiveness of Teledental consultations compared with standard consultations at the RCH.Methods:A model-based analysis was conducted to determine the potential costs of implementing TD at the RCH. The outcome measure was timely consultations (whether the patient presented within an appropriate time according to the recommended schedule). Dental records at the RCH of those who presented for orthodontic or pediatric dental consultations were assessed. A cost-effectiveness analysis (CEA), comparing TD with the traditional method of consultation, was conducted. One-way sensitivity analysis was performed to test the robustness of the results.Results and Materials:A total of 367 TD appropriate consultations were identified, of which 241 were timely (65.7%). The mean cost of a RCH consultation was A$431.29, with the mean TD consult costing A$294.35. This represents a cost saving of A$136.95 per appointment. The CEA found TD to be a dominant option, with cost savings of A$3,160.81 for every additional timely consult. The model indicated that 36.7 days of clinic time may be freed up at the RCH to treat other patients and expand capacity. These results were robust when performing one-way sensitivity analysis.Conclusion:When taking a societal perspective, the implementation of TD is likely to be a cost-effective alternative compared with the standard practice of face-to-face consultation at the RCH.