A cost-minimization analysis of a realtime teledermatology service in northern Norway
A cost-minimization analysis of a realtime teledermatology service in northern Norway
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DOI：
10.1258/1357633001935905
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发表时间：
2000-01-01
影响因子：
4.7
通讯作者：
Bergmo, TS
中科院分区：
文献类型：
--
作者：
Bergmo, TS
自 1989 年以来，实时远程皮肤科一直是特罗姆瑟大学医院向希尔克内斯初级保健中心提供的常规服务。远程皮肤科服务的费用与患者的三种替代治疗方法的费用进行了比较。第一个是探访服务和患者前往医院的结合。第二个是患者前往最近的二级护理中心。第三位是当地雇用的皮肤科医生。按 1998 年 375 名患者的实际工作量计算，远程皮肤科的总费用为 NKr470,780，而三种替代方案的费用分别为 NKr880,530、NKr1,635,075 和 NKr958,660。单位成本分析表明，对于每年 195 名患者以上的年度工作量，实时远程皮肤科服务（包括局部光疗）的成本低于三种替代方案。敏感性分析表明，结果对于成本结构假设的变化是稳健的。
Realtime teledermatology has been a routine service provided by the University Hospital of Tromso to a primary-care centre in Kirkenes since 1989. The cost of the teledermatology service was compared with the costs of three alternative methods of treatment for the patients. The first was a combination of a visiting service and patient travel to hospital. The second was patient travel to the nearest secondary-care centre. The third was a locally employed dermatologist. At the actual 1998 workload of 375 patients, the total cost of teledermatology was NKr470,780, while the three alternatives cost NKr880,530, NKr1,635,075 and NKr958,660, respectively. Analysis of the unit costs showed that the realtime teledermatology service, including local phototherapy, was less costly than the three alternatives for annual workloads above 195 patients per year. A sensitivity analysis showed that the results were robust to changes in the assumptions about the cost structure.