The cost-effectiveness of a robot measuring vital signs in a rural medical practice

Robots have been proposed to reduce the costs of the provision of healthcare in rural settings, but as yet little research has tested this. This study investigated the feasibility and cost-effectiveness of a robot measuring routine vital signs in a family medicine clinic in a rural setting. The length of patient consultations was compared before (N = 85 patients) and after a robot was deployed in the clinic (N = 48 patients). A Cafero touchscreen robot took the patient's vital signs prior to the consultation and transferred the results to the medical professional's computer. Time-savings were calculated in New Zealand dollar terms and compared to the costs of the robot and its maintenance. Results showed that consultation lengths were cut by 18% on average (3 minutes and 13 seconds). If 20% of the clinics' annual consultations were augmented with the robot this translates to a total annual savings of NZ$19075. The annual cost of the robot was calculated to be NZ$9400 overs 5 years. Present value calculations of Benefit Cost result in a Benefit Cost ratio of 2.3. These results support the cost-effectiveness of the robot in a rural medical clinic. Further research is needed to improve the services provided by the robot and test it in a larger trial.