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Related Experiment Videos

A cost measurement study for a tele-oncology practice

G C Doolittle1, A Williams, A Harmon

  • 1Division of Clinical Oncology, University of Kansas Medical Center, Kansas City 66160-7353, USA. GDoolitt@kumc.edu

Journal of Telemedicine and Telecare
|September 23, 1998
PubMed
Summary

Providing oncology services via conventional clinics is most cost-effective per patient compared to outreach or telemedicine models. Further analysis of unit cost curves is needed for direct comparison.

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Area of Science:

  • Health Services Research
  • Oncology
  • Health Economics

Background:

  • Peripheral hospitals face challenges in delivering consistent oncology services.
  • Evaluating different service delivery models is crucial for optimizing healthcare resource allocation.
  • Conventional, outreach, and telemedicine clinics represent distinct approaches to providing specialized care.

Purpose of the Study:

  • To compare the costs of delivering oncology services through three distinct models: conventional, outreach, and telemedicine clinics.
  • To analyze the per-patient costs associated with each service delivery method in a peripheral hospital setting.
  • To identify the most economically viable method for providing oncology care to remote populations.

Main Methods:

  • A one-year study was conducted to measure the costs of providing oncology services.

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  • Three models were evaluated: conventional clinics (on-site oncologist), outreach clinics (visiting oncologist), and telemedicine clinics (remote consultation via video-link).
  • Patient volumes and average costs per patient were recorded for each model.

    • Main Results:

    • Conventional clinics served 2400 patients with an average cost of $149 per patient.
    • Outreach clinics served 81 patients with an average cost of $897 per patient.
    • Telemedicine clinics served 103 patients with an average cost of $812 per patient.

    Conclusions:

    • At the studied patient volumes, conventional clinics demonstrated significantly lower per-patient costs than outreach or telemedicine models.
    • The high per-patient costs in outreach and telemedicine models may be influenced by lower patient volumes and fixed operational expenses.
    • Direct cost comparison is limited without understanding the underlying unit cost curves for each service delivery model.