虚拟视网膜诊所与完全面对面诊所的成本分析
Leire Juaristi1, Javier Mar2, Ane Guibelalde3
1Departamento de Oftalmología, Donostia Unibertsitate Ospitalea - Hospital Universitario Donostia (HUD), Donostia-San Sebastián, Gipuzkoa, Spain; Instituto de Investigación Sanitaria Biodonostia, Donostia-San Sebastián, Gipuzkoa, Spain.
Archivos de la Sociedad Espanola de Oftalmologia
|February 2, 2026
概括
虚拟视网膜诊所 (VRC) 具有稳定的视网膜疾病随访的成本效益,在直接成本方面与传统诊所相匹配. 通过降低与患者生产力损失相关的间接成本,VRC显著降低了总体支出.
科学领域:
- 眼科医生 眼科 眼科
- 卫生经济学 卫生经济学
- 数字健康数字健康
背景情况:
- 虚拟诊所提供创新的慢性疾病管理,特别是在眼科.
- 面对面 (F2F) 服务面临着日益增长的需求,需要有效的替代方案.
- 虚拟诊所 (如虚拟视网膜诊所 (VRC)) 缺乏全面的效率研究.
研究的目的:
- 为了比较虚拟视网膜诊所 (VRC) 与传统F2F诊所的成本效益.
- 分析与稳定视网膜疾病的VRC和F2F随访相关的直接和间接成本.
主要方法:
- 成本最小化分析 (AMC) 将F2F和VRC设置中的资源利用量进行比较.
- 包括直接成本 (人员,设备) 和间接成本 (患者生产力损失).
- 之前验证了VRC的有效性和敏感性,以检测疾病进展.
主要成果:
- 在481名患者的VRC和F2F诊所之间,总直接成本没有显著差异.
- 在VRC中,员工成本较低 (54.5%vs. 76.8%),但设备成本较高 (32.8%vs. 10%).
- 通过将间接成本降低一半以上,VRC的总体成本显著降低.
结论:
- 对于稳定的视网膜疾病的随访,VRC并不比F2F诊所更昂贵.
- 当考虑间接成本时,VRC更经济.
- 设备采购后,与传统F2F护理相比,VRC的长期成本较低.
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