维多利亚州一个虚拟急诊室的建模经济评估
Long Khanh-Dao Le1, Thao Thai1, Peter A Cameron2,3
1Monash University Health Economics Group, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Emergency medicine Australasia : EMA
|September 28, 2023
概括
虚拟ED (VED) 的投资回报率为1.12,表明成本中立性. 需要进一步的研究来证实其有希望的潜力,以节省住院费用.
科学领域:
- 卫生经济学 卫生经济学
- 远程医疗远程医疗
- 紧急医疗 紧急医疗
背景情况:
- 紧急部门 (ED) 过度拥挤是一个重要的公共卫生问题.
- 虚拟ED (VED) 提供了一种潜在的解决方案,以减轻ED的压力.
- 随着医疗保健需求的不断变化,需要创新的服务提供模式.
研究的目的:
- 在澳大利亚进行虚拟ED计划的投资回报率 (ROI) 分析.
- 通过评估成本和节省,评估VED的经济可行性.
- 确定VED对医疗保健和救护车服务的财务影响.
主要方法:
- 使用患者结局数据开发了一个经济模型.
- 该研究分析了与阿尔弗雷德健康的VED计划相关的成本和节省.
- 投资回报率 (ROI) 通过将成本节约与188名患者的干预成本进行比较来计算.
主要成果:
- 79天的VED计划的总运营成本为344,117.7澳元.
- 通过减少紧急诊所访问,VED可以节省286,779澳元的医疗保健成本.
- 在救护车服务中观察到额外的97,569澳元的成本节省,整体ROI为1.12.
结论:
- 在保守的分析中,Virtual ED程序被发现是成本中立的.
- 视频发电模型显示出希望,特别是如果它可以减少住院患者.
- 建议对更大的队列进行进一步研究,并对社区进行随访,以验证这些发现.
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