Feasibility of epilepsy follow-up care through telemedicine: A pilot study on the patient's perspective
Feasibility of epilepsy follow-up care through telemedicine: A pilot study on the patient's perspective
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DOI：
10.1111/j.1528-1167.2007.01464.x
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发表时间：
2008-04-01
期刊：
影响因子：
5.6
通讯作者：
Ohinmaa, Arto
中科院分区：
文献类型：
--
作者：
Ahmed, Syed Nizamuddin;Mann, Carly;Ohinmaa, Arto
目的：成本分析和患者满意度与远程医疗在epilepsy care.Methods：这项对照研究包括外地癫痫患者来随访在大学的阿尔伯塔医院癫痫门诊。在知情同意后，患者被随机分配到传统（n = 18）或远程医疗（n = 23）诊所。病人或照顾者填写病人的满意度和旅行成本问卷在这两种选择。每次访问的成本分析包括旅行，住宿和生产力损失的成本。结果：人口的平均年龄为41岁（范围19-73; 45%的妇女）。83%的患者更喜欢通过远程医疗进行下一次就诊。约90%的患者表示需要陪同旅行（主要是开车）到传统诊所。对于常规组患者，生产力损失价值为201加元，酒店费用为8.50加元，汽车里程价值为256.50加元，总计约466.00加元。远程医疗的患者成本为35.85加元。远程医疗生产成本与患者节省的旅行和生产力损失相似。结论：远程医疗在癫痫患者的随访护理中可以发挥一定的作用，降低患者的费用，提高患者的满意度。这是加拿大西部第一家全职癫痫远程医疗诊所。
Purpose: Cost analysis and patient satisfaction with telemedicine in epilepsy care.Methods: This controlled study included out-of-town epilepsy patients coming to follow-up at the University of Alberta hospital epilepsy clinic. After an informed consent, patients were randomized to either conventional (n = 18) or telemedicine (n = 23) clinics. Patients or caregivers filled patient satisfaction and travel cost questionnaires in both alternatives. Cost per visit analysis included costs of traveling, lodging, and lost productivity.Results: Average age of the population was 41 years (range 19-73; 45% women). Eighty-three percent of patients preferred their next visit through telemedicine. About 90% of patients indicated a need for companion travel (mainly by car) to conventional clinic. For the conventional group patients the value of lost productivity was CAD $201, hotel cost CAD $8.50, and the value of car mileage CAD $256.50, totaling about CAD $466.00. Patient costs for telemedicine were CAD $35.85. Telemedicine production costs are similar to the patients' savings in traveling and lost productivity. About 90% of patients in both groups were satisfied with the quality of the service.Conclusion: Telemedicine can play a role in follow-up care of epilepsy patients, reduce patient costs, and improve patient satisfaction. This is the first full-time epilepsy telemedicine clinic in Western Canada.