PMID: 11915095Mar 28, 2002Paper

Evaluating the cost of one telehealth application connecting an acute and long-term care setting

Journal of Gerontological Nursing
J K SpechtJ Flanagan

Abstract

This article describes a study of the costs of a pilot telemedicine chronic wound consultation clinic. Cost minimization analysis is the technique used to examine the costs of the clinic. The components of cost analysis include the fixed costs of personnel and equipment and the indirect costs of circuit and line charges. Cost avoidance is also examined. Cost avoidance evaluates what costs were avoided by the use of the telemedicine clinic. Additionally, the cost perspectives of the consulting agency, the referring agency, and the patient are examined. The average cost of a chronic wound consultation was $136.16 (acute care perspective). Costs of a traditional face-to-face consultation, if the residents were transported to the acute care facility would be $246.28. Fifteen telehealth consultations per month were used to determine per consultation costs for line charges and depreciation/maintenance costs. In this pilot study, a cost savings was realized and patients benefited. Increased volume will help to offset the cost of the equipment depreciation and maintenance and make telehealth chronic wound consultations more cost effective.

References

Mar 1, 1977·Medical Care·C MullerB Thomstad
Dec 15, 1978·JAMA : the Journal of the American Medical Association·N CunninghamE Glazer
Jul 25, 2000·Telemedicine Journal : the Official Journal of the American Telemedicine Association·S ZolloS Sebille
Mar 28, 2002·Journal of Gerontological Nursing·S E GardnerJ Flanagan

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Citations

Sep 1, 2005·Journal of Gerontological Nursing·Jeanette M DalyTaehee Bae
Apr 17, 2004·Journal of the American Geriatrics Society·Bonnie J WakefieldMichael G Kienzle
Mar 24, 2005·Dermatology : International Journal for Clinical and Investigative Dermatology·Wolfgang SalmhoferH Peter Soyer
Aug 4, 2006·Journal of Telemedicine and Telecare·George E KaragiannisMichael A Gatzoulis
Nov 28, 2008·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Terry RabinowitzPeter Yellowlees
May 7, 2010·Developmental Science·Asher Koriat, Rakefet Ackerman
Jun 18, 2017·Health Economics·Sebastian HeidenreichEuan Phimister
Jan 17, 2007·The Journal of Cardiovascular Nursing·Kathryn H Bowles, Amy C Baugh

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