在儿科脏病学中使用远程医疗的成本分析-LMIC视角
Vishnu Dev1, Aliza Mittal2, Vibha Joshi3
1Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Pediatric nephrology (Berlin, Germany)
|July 24, 2023
概括
远程医疗咨询显著降低了儿童病患者的医疗费用和旅行费用,特别是在偏远地区. 这种方法可以节省大量的资金,并减少需要后续护理的家庭的旅行距离.
科学领域:
- 儿科脏病学 儿科脏病学
- 卫生经济学 卫生经济学
- 数字健康数字健康
背景情况:
- 慢性疾病管理造成了严重的医疗保健接入障碍,特别是农村和服务不足地区的儿童.
- COVID-19大流行加速了远程医疗的采用,将医疗保健服务转向虚拟咨询.
- 这项研究专门评估了通过在儿科科环境中通过远程咨询实现的成本节约.
研究的目的:
- 评估利用远程医疗在儿科脏病的后续护理的经济效益.
- 量化使用远程医疗服务的患者和家庭的节省成本和减少旅行距离.
主要方法:
- 一项前性队列研究于2021年3月至2022年10月期间在一个三级护理中心进行.
- 儿科患者 (29天-18岁) 患有脏相关疾病,参加远程医疗服务.
- 在6个月的随访期内进行了成本分析,以确定患者和家人的感知成本节约.
主要成果:
- 招募了112名患者,并进行了266次远程咨询.
- 109名患者在6个月内节省了457,900印度卢比的成本,平均每位患者每次访问1577印度卢比.
- 患者平均节省了2.16%的家庭收入,并减少了83,274公里的旅行.
结论:
- 远程医疗后续护理显然减少了儿科脏病患者的财务负担和旅行需求.
- 调查结果强调了远程医疗在改善偏远或服务不足的人群的医疗保健可及性和负担能力方面的潜力.
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