A time and cost analysis of speech pathology paediatric feeding services delivered in-person versus via telepractice
A time and cost analysis of speech pathology paediatric feeding services delivered in-person versus via telepractice
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DOI：
10.1177/1357633x211012883
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发表时间：
2021-05-09
影响因子：
4.7
通讯作者：
Byrnes, Joshua
中科院分区：
文献类型：
--
作者：
Raatz, Madeline;Ward, Elizabeth C.;Byrnes, Joshua
IntroductionTelepractice模式的护理有可能减少时间和经济负担，消费者可能会遇到访问医疗保健服务。本研究的目的是进行时间和财务成本分析的儿科喂养预约访问通过远程实践（使用视频会议）相比，在人model.MethodsParents的44名儿童与儿科喂养障碍（PFDs）居住在一个大都市地区完成了三份问卷调查，有关（a）人口统计，（B）的时间和成本的亲自护理和（c）的时间和成本的远程实践。两份成本调查表都收集了直接和间接成本比较所需的数据（例如，与任命有关的自付成本（直接）、离开日常职责的时间（间接））。从服务统计数据中收集了每个参与者获得的服务的平均数量，以及每年由服务进行的PFD预约。分析涉及成本最小化和成本建模从社会prospects.ResultsThe远程预约导致显着的时间（p = 0.007）和成本（AUD$95.09每个预约，SD = AUD$64.47，p = < 0.0001）节省每个家庭。两种型号的医疗服务成本相当（58.25澳元）。成本模型确定，如果将10次会议中50%的预约转换为远程实践，每个家庭可节省高达475.45澳元的成本。潜在的成本节省68，750.07澳元每年的社会可以实现，如果50%的喂养预约内的服务是通过telepractice.DiscussionThe远程实践模式提供了时间和成本效益。未来的服务重新设计将包括混合服务（面对面和远程实践），这将有助于优化福利，并最大限度地减少家庭获得PFD服务的负担。
IntroductionTelepractice models of care have the potential to reduce the time and financial burdens that consumers may experience accessing healthcare services. The current study aimed to conduct a time and financial cost analysis of paediatric feeding appointments accessed via telepractice (using videoconferencing) compared to an in-person model.MethodsParents of 44 children with paediatric feeding disorders (PFDs) residing in a metropolitan area completed three questionnaires relating to (a) demographics, (b) time and cost for in-person care and (c) time and cost for telepractice. Both cost questionnaires collected data required for direct and indirect costs comparisons (e.g. out-of-pocket costs associated with the appointment (direct), time away from usual duties (indirect)). Average number of services accessed by each participant, and PFD appointments conducted annually by the service, were collected from service statistics. Analysis involved cost minimisation and cost modelling from a societal perspective.ResultsThe telepractice appointment resulted in significant time (p = 0.007) and cost (AUD$95.09 per appointment, SD = AUD$64.47, p = < 0.0001) savings per family. The health service cost was equivalent for both models (AUD$58.25). Cost modelling identified cost savings of up to AUD$475.45 per family if 50% of appointments in a 10-session block were converted to telepractice. Potential cost savings of AUD$68,750.07 per annum to society could be realised if 50% of feeding appointments within the service were provided via telepractice.DiscussionThe telepractice model offered both time and cost benefits. Future service re-design incorporating hybrid services (in-person and telepractice) will help optimise benefits and minimise burden for families accessing services for PFDs.