Cost Minimization Analysis of a Teledermatology Triage System in a Managed Care Setting.

JAMA Dermatology
Adam ZakariaErin Amerson

Abstract

Teledermatology (TD) enables remote triage and management of dermatology patients. Previous analyses of TD systems have demonstrated improved access to care but an inconsistent fiscal impact. To compare the organizationwide cost of managing newly referred dermatology patients within a TD triage system vs a conventional dermatology care model at the Zuckerberg San Francisco General Hospital and Trauma Center (hereafter referred to as the ZSFG) in California. A retrospective cost minimization analysis was conducted of 2098 patients referred to the dermatology department at the ZSFG between June 1 and December 31, 2017. Implementation of the TD triage system in January 2015. The main outcome was mean cost to the health care organization to manage newly referred dermatology patients with or without TD triage. To estimate costs, decision-tree models were constructed to characterize possible care paths with TD triage and within a conventional dermatology care model. Costs associated with primary care visits, dermatology visits, and TD visits were then applied to the decision-tree models to estimate the mean cost of managing patients following each care path for 6 months. The mean cost for each visit type incorporated personnel costs,...Continue Reading

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Citations

Mar 22, 2021·Journal of the American Academy of Dermatology·Pallavi BasuShinjita Das
May 29, 2021·SAGE Open Medicine·Mathias T SvendsenKlaus Ejner Andersen
Jul 2, 2021·Annals of the Academy of Medicine, Singapore·Wen Hao TanHaur Yueh Lee
Sep 9, 2021·Journal of Comparative Effectiveness Research·Francisco de Assis AcurcioJuliana Alvares-Teodoro
Nov 21, 2021·International Journal of Impotence Research·Justin M DubinJoshua A Halpern

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