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COST AND POLLUTANTS EMISSION REDUCTION WITH A TELEMEDICINE PROGRAM FOR HIP SURGERY IN BRAZIL
Fabio Seiji Mazzi Yamaguchi1, Hector Fugihara Kroes2, Gabriel Benevides Valiate Martins1
1Universidade de Sao Paulo, Faculdade de Medicina, Hospital das Clinicas, Instituto de Ortopedia e Traumatologia (HCFMUSP), Sao Paulo, SP, Brazil.
Acta Ortopedica Brasileira
|December 15, 2025
Summary
Telemedicine significantly cuts travel time, costs, and emissions for hip patients. However, wealthier individuals show a higher preference, highlighting potential access barriers for lower-income groups.
Area of Science:
- Orthopedics
- Health Economics
- Environmental Health
Background:
- Telemedicine offers potential benefits for managing hip pathologies.
- Understanding the economic and environmental impacts is crucial for equitable healthcare access.
Purpose of the Study:
- To assess the economic and environmental impacts of telemedicine for hip patients.
- To correlate socioeconomic factors with telemedicine preference.
Main Methods:
- Cross-sectional study of 148 patients with hip pathologies.
- Data collected on preferences, socioeconomic profile, travel, and costs.
- Calculated avoided distance, time, and emissions; statistical analysis performed.
Main Results:
- 77.7% of patients preferred telemedicine, avoiding an average of 168.84 km and 223.97 minutes.
- Significant out-of-pocket savings and a total reduction of ~7 metric tons of CO2 emissions.
- Higher income positively correlated with telemedicine preference (p=0.0283).
Conclusions:
- Telemedicine improves access by reducing time, costs, and environmental impact.
- Wealthier patients show higher preference, suggesting potential disparities for lower-income groups.
- Further research needed to address low adherence in socioeconomically disadvantaged populations.
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