Impact of a University-Based Outpatient Telemedicine Program on Time Savings, Travel Costs, and Environmental Pollutants

Dullet, Navjit; Geraghty, Estella M.; Kaufman, Taylor; Kissee, Jamie L.; King, Jesse; Dharmar, Madan; Smith, Anthony C; Marcin, James P.

doi:10.1016/j.jval.2017.01.014

Cited by 167 publications

(129 citation statements)

References 23 publications

(34 reference statements)

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“…These results are in line with one recent study that measured the travel and environmental cost savings from one telehealth program in the USA [28]. Dullet et al [28] found that the telehealth consultations during the study period led to total cost savings of US$156 (SEK1375) per consultation compared with in-person care of a similar nature.…”

Section: Discussionsupporting

confidence: 89%

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Cost Analysis of a Digital Health Care Model in Sweden

Ekman

2017

PharmacoEconomics Open

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BackgroundDigital technologies in health care are expected to increase in scope and to affect ever more parts of the health care system. It is important to enhance the knowledge of whether new digital methods and innovations provide value for money compared with traditional models of care.ObjectiveThe objective of the study was to evaluate whether a digital health care model for primary care is a less costly alternative compared with traditional in-office primary care in Sweden.MethodsCost data for the two care models were collected and analyzed to obtain a measure in local currency per care contact.ResultsThe comparison showed that the total economic cost of a digital consultation is 1960 Swedish krona (SEK) (SEK100 = US$11.29; February 2017) compared with SEK3348 for a traditional consultation at a health care clinic. Cost differences arose on both the provider side and on the user side.ConclusionThe digital health care model may be a less costly alternative to the traditional health care model. Depending on the rate of digital substitution, gross economic cost savings of between SEK1 billion and SEK10 billion per year could be realized if more digital consultations were made. Further studies are needed to validate the findings, assess the types of care most suitable for digital care, and also to obtain various quality-adjusted outcome measures.

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Section: Discussionsupporting

confidence: 89%

“…Dullet et al [28] found that the telehealth consultations during the study period led to total cost savings of US$156 (SEK1375) per consultation compared with in-person care of a similar nature. The current study did not make any assessment of the environmental effects of the digital care model.…”

Section: Discussionmentioning

confidence: 99%

Cost Analysis of a Digital Health Care Model in Sweden

Ekman

2017

PharmacoEconomics Open

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“…Telemedicine offers a potential solution by more efficiently connecting families with practitioners and clinical researchers. For example, telemedicine consults in 1 health system resulted in an average reduction in distance traveled of 278 miles per consultation and an average time saving of 245 minutes . Therefore, telemedicine may optimize clinical research by increasing patient engagement and study enrollment.…”

Section: Novel Approachesmentioning

confidence: 99%

Innovative Study Designs Optimizing Clinical Pharmacology Research in Infants and Children

Balevic

Cohen‐Wolkowiez

2018

The Journal of Clinical Pharma

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Almost half of recent pediatric trials failed to achieve labeling indications, due in large part to inadequate study design. Therefore, innovative study methods are crucial to optimize trial design while also reducing the potential harms inherent with drug investigation. Several methods exist to optimize the amount of pharmacokinetic (PK) data collected from the smallest possible volume and with the fewest number of procedures, including the use of opportunistic and sparse sampling, alternative and non-invasive matrices, and micro-volume assays. In addition, large research networks using master protocols promote collaboration, reduce regulatory burden, and increase trial efficiency for both early- and late-phase trials. Large pragmatic trials that leverage electronic health records can capitalize on central management strategies to reduce costs, enroll patients with rare diseases on a large scale, and augment study generalizability. Further, trial efficiency and safety can be optimized through Bayesian adaptive techniques that permit planned protocol changes based on analyses of prior and accumulated data. In addition to these trial design features, advances in modeling and simulation have paved the way for systems-based and physiologically-based models that individualize pediatric dosing recommendations and support drug approval. Lastly, given the low prevalence of many pediatric diseases, collecting de-identified genetic and clinical data on a large scale is a potentially transformative way to augment clinical pharmacology research in children.

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“…Our adoption of video televisits in the ALS patient population was supported by a grant from the ALS Association, philanthropy, and the adoption of an internal hospital program to support physicians using telemedicine. More broadly, such resources are not available, resulting in substantial interest, but slow uptake of video televisits for people with ALS nationally despite a warm reception for televisits in ALS and a growing literature demonstrating the cost‐effectiveness of telemedicine for outpatient care …”

mentioning

confidence: 99%

“…More broadly, such resources are not available, resulting in substantial interest, but slow uptake of video televisits for people with ALS nationally despite a warm reception for televisits in ALS and a growing literature demonstrating the cost-effectiveness of telemedicine for outpatient care. 17 Our objective was to assess the cost of video televisits for people with ALS in their homes relative to multidisciplinary care provided in-clinic. We incorporated both the patient perspective and a partial institutional perspective focused on the costs of operating a multidisciplinary clinic.…”

mentioning

confidence: 99%

Adjusted cost analysis of video televisits for the care of people with amyotrophic lateral sclerosis

et al. 2019

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Introduction: We previously reported our amyotrophic lateral sclerosis (ALS) video televisit experience. Here we report on video televisit versus in‐clinic costs, adjusting for perceived medical usefulness (MU). Methods: We take the patient‐perspective and a focused institutional‐perspective. Costs are adjusted for patient/caregiver and physician perceptions of visit MU. The base‐case reflects our outpatient ALS practice. Results: In the base‐case, from the patient perspective, in‐clinic visits cost $1,116 and video televisits cost $89 ($119 after MU‐adjustment). From the institutional perspective, clinic visits cost $799, and video televisits cost $354 ($472 after MU‐adjustment). Adjusted cost‐savings per televisit are $997 (patient) and $327 (institution). Sensitivity analyses on 5 variables accounted for uncertainty in base‐case assumptions. Conclusions: Video televisits provide marked adjusted cost‐savings for patients and institutions. Adjusted costs are sensitive to perceived MU of video televisits. Future research should explore the ability of video televisits to reduce healthcare resource usage. Muscle Nerve 60: 147–154, 2019

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Impact of a University-Based Outpatient Telemedicine Program on Time Savings, Travel Costs, and Environmental Pollutants

Abstract: This study demonstrates the positive impact of a health system's outpatient telemedicine program on patient travel time, patient travel costs, and environmental pollutants.

Cited by 167 publications

References 23 publications

Cost Analysis of a Digital Health Care Model in Sweden

Cost Analysis of a Digital Health Care Model in Sweden

Innovative Study Designs Optimizing Clinical Pharmacology Research in Infants and Children

Adjusted cost analysis of video televisits for the care of people with amyotrophic lateral sclerosis

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