对普外科患者使用远程医疗与亲临现场进行门诊随访的经济影响:随机临床试验的二次分析

IF 1.3 4区 医学 Q3 SURGERY
Georgina Ferret , Manel Cremades , Lídia Cornejo , Francesc Guillem-López , Ramon Farrés , David Parés , Joan-Francesc Julian
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引用次数: 0

摘要

导言:互联网连接的创新和 Covid 19 的流行给医疗领域的患者管理带来了巨大变化,促进了远程医疗的使用。本研究的目的是在一项随机对照试验(RCT)中比较这两种门诊方法在经济成本上的差异。研究方法在普外科门诊病人计划出院后进行了一项 RCT 试验,招募了 200 名病人,比较传统的面对面随访与使用远程医疗的数字健康随访。在证明临床结果和患者满意度无差异后,我们分析了医疗成本,包括员工工资、初始投资、专利交通和对社会成本的影响。结果在初始投资 7527.53 欧元后,医疗机构的传统面对面随访成本(8180.4 欧元)高于使用远程医疗的成本(4630.06 欧元)。结论与传统的面对面随访相比,对出院后的普通外科患者使用数字健康远程医疗是一种具有成本效益的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Economic impact of outpatient follow-up using telemedicine vs in-person visits for patients in general surgery: A secondary analysis of a randomized clinical trial

Economic impact of outpatient follow-up using telemedicine vs in-person visits for patients in general surgery: A secondary analysis of a randomized clinical trial

Introduction

Innovation in internet connectivity and the Covid 19 pandemic have caused a dramatic change in the management of patients in the medical field, boosting the use of telemedicine. A comparison of clinical outcomes and satisfaction between conventional face-to-face and telemedicine follow-up in general surgery, an economic evaluation is mandatory.

The aim of the present study was to compare the differences in economic costs between these two outpatient approaches in a designed randomized controlled trial (RCT).

Methods

A RCT was conducted enrolling 200 patients to compare conventional in-person vs. digital health follow-up using telemedicine in the outpatient clinics in patients of General Surgery Department after their planned discharge. After a demonstration that no differences were found in clinical outcomes and patient satisfaction, we analyzed the medical costs, including staff wages, initial investment, patent’s transportation and impact on social costs.

Results

After an initial investment of 7527.53€, the costs for the Medical institution of in-person conventional follow-up were higher (8180.4€) than those using telemedicine (4630.06€). In relation to social costs, loss of productivity was also increased in the conventional follow-up.

Conclusion

The use of digital Health telemedicine is a cost-effective approach compared to conventional face-to-face follow-up in patients of General Surgery after hospital discharge.

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来源期刊
Cirugia Espanola
Cirugia Espanola SURGERY-
CiteScore
1.20
自引率
21.10%
发文量
173
审稿时长
53 days
期刊介绍: Cirugía Española, an official body of the Asociación Española de Cirujanos (Spanish Association of Surgeons), will consider original articles, reviews, editorials, special articles, scientific letters, letters to the editor, and medical images for publication; all of these will be submitted to an anonymous external peer review process. There is also the possibility of accepting book reviews of recent publications related to General and Digestive Surgery.
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