Cost-effectiveness of telemonitoring for high-risk pregnant women

被引：43

作者：

Buysse, Heidi ^{[1
]}

De Moor, Georges ^{[1
]}

Van Maele, Georges ^{[1
]}

Baert, Erik ^{[2
]}

Thienpont, Geert ^{[3
]}

Temmerman, Marleen

机构：

[1] Univ Ghent, Dept Med Informat & Stat, B-9000 Ghent, Belgium

[2] Ghent Univ Hosp, MKG, B-9000 Ghent, Belgium

[3] Res Adv Med Informat & Telemat, RAMIT, B-9820 Merelbeke, Belgium

来源：

INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS | 2008年 / 77卷 / 07期

关键词：

cost-benefit analysis; electronic health care; pregnancy; high risk; ICT; telemonitoring;

D O I：

10.1016/j.ijmedinf.2007.08.009

中图分类号：

TP [自动化技术、计算机技术];

学科分类号：

0812 ;

摘要：

Purpose: Cost-minimization is a main topic in present-day health care. Clinicians are urged to keep hospital stays as short as possible, also in Obstetrics and Gynaecology Departments. At present stabilized high-risk pregnant women stay in hospital for the sole purpose of being monitored. Method: In this retrospective study the cost-effectiveness of telemonitoring of such high-risk pregnant women was calculated by analyzing the data of 456 episodes originating from 415 patients of the Ghent University Hospital. Results and conclusions: It was determined that telemonitoring made a cost-reduction of (sic) 145,822 per year possible. However, variables such as educational level, psychosocial situation, time-travel distance from home to the hospital, reimbursement system and actual clinical status were not included. Furthermore, the Belgian health authorities does not provide for a specific code to allow the billing of teleinterpretation of transmitted results. (C) 2007 Elsevier Ireland Ltd. All rights reserved.

引用

页码：470 / 476

页数：7

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