An economic cost analysis of an expanding, multi-state behavioural telehealth intervention

Journal of Telemedicine and Telecare
Siobhan K YilmazCaroline A Bonham

Abstract

In this paper the economic costs associated with a growing, multi-state telepsychiatry intervention serving rural American Indian/Alaska Native populations were compared to costs of travelling to provide/receive in-person treatment. Telepsychiatry costs were calculated using administrative, information-technology, equipment and technology components, and were compared to travel cost models. Both a patient travel and a psychiatrist travel model were estimated utilising ArcGIS software and unit costs gathered from literature and government sources. Cost structure and sensitivity analysis was also calculated by varying modeling parameters and assumptions. It is estimated that per-session costs were $93.90, $183.34, and $268.23 for telemedicine, provider-travel, and patient-travel, respectively. Restricting the analysis to satellite locations with a larger number of visits reduced telemedicine per-patient encounter costs (50 or more visits: $83.52; 100 or more visits: $80.41; and 150 or more visits: $76.25). The estimated cost efficiencies of telemedicine were more evident for highly rural communities. Finally, we found that a multi-state centre was cheaper than each state operating independently. Consistent with previous research,...Continue Reading

References

Mar 10, 2001·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·M J McCueA Neece
Jan 26, 2002·Journal of Telemedicine and Telecare·Siri BjørvigKristian Fossen
Aug 3, 2004·The American Journal of Psychiatry·Paul E RuskinPeter Hauser
Jul 23, 2005·Journal of Telemedicine and Telecare·Richard WoottonShannon A Dow
Oct 25, 2006·Journal of Telemedicine and Telecare·Jacqueline Harley
Dec 14, 2006·Administration and Policy in Mental Health·Emily J HauensteinDouglas Wagner
May 31, 2007·Psychiatric Services : a Journal of the American Psychiatric Association·Jay H ShoreAnne M Libby
May 31, 2007·Psychiatric Services : a Journal of the American Psychiatric Association·Richard O'ReillyJatinder Takhar
Jun 27, 2008·Annals of the New York Academy of Sciences·Michelle Sarche, Paul Spicer
Nov 28, 2008·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Stephanie Vergara Rojas, Marie-Pierre Gagnon
Oct 27, 2009·Cost Effectiveness and Resource Allocation : C/E·Trine S Bergmo
Dec 4, 2009·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·María E DávalosScott C Simmons
Nov 1, 2011·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Gary C DoolittleArthur R Williams
Jun 14, 2013·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Joran LokkerbolFilip Smit
May 14, 2014·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Hema MistryRaymond Oppong
Mar 24, 2015·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Robert J HiltJulia R Wignall
May 31, 2015·Journal of Telemedicine and Telecare·Brady P HornCaroline A Bonham
Jul 2, 2015·Psychiatric Services : a Journal of the American Psychiatric Association·Meera NarasimhanJohn Magill
Aug 26, 2015·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Jack E RussoLouise Davies
Oct 31, 2015·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Melinda M DavisK John McConnell
Nov 11, 2015·Journal of Medical Internet Research·Trine Strand Bergmo
Oct 7, 2017·The European Respiratory Journal·Lara S van den WijngaartPeter J F M Merkus

❮ Previous
Next ❯

Citations

Jul 20, 2018·The American Journal of Drug and Alcohol Abuse·Brady P HornMichael T French
Feb 9, 2019·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Roseanne Moody FairchildDaniel Hardesty
Feb 27, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Mei ZhaoSinyoung Park
Mar 19, 2021·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Neha D ShahMeagan F Moyer
Oct 8, 2021·Journal of Telemedicine and Telecare·Keshia R De GuzmanAnthony C Smith
Dec 31, 2021·Disability and Rehabilitation·Alisa GrigorovichBrian C F Chan

❮ Previous
Next ❯

Software Mentioned

ArcGIS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Psychiatric Services : a Journal of the American Psychiatric Association
Jay H ShoreAnne M Libby
Journal of Telemedicine and Telecare
Johanna LamminenKeijo Ruohonen
Journal of the Mississippi State Medical Association
Andrew Chevalier
Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
S David McSwainBrooke Yeager
© 2022 Meta ULC. All rights reserved