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Cited by 299

The DOI matches its Crossref record; 38 of the 38 references it cites were found in a registry or an index.

Cost-Effectiveness of Telemedicine in Remote Orthopedic Consultations: Randomized Controlled Trial

Open access
Buvik, Astrid, Bergmo, Trine S, Bugge, Einar, Smaabrekke, Arvid, Wilsgaard, Tom, Olsen, Jan Abel·2019·Journal of Medical Internet Research
DOI 10.2196/11330
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Abstract

BACKGROUND: Telemedicine consultations using real-time videoconferencing has the potential to improve access and quality of care, avoid patient travels, and reduce health care costs. OBJECTIVE: The aim of this study was to examine the cost-effectiveness of an orthopedic videoconferencing service between the University Hospital of North Norway and a regional medical center in a remote community located 148 km away. METHODS: An economic evaluation based on a randomized controlled trial of 389 patients (559 consultations) referred to the hospital for an orthopedic outpatient consultation was conducted. The intervention group (199 patients) was randomized to receive video-assisted remote orthopedic consultations (302 consultations), while the control group (190 patients) received standard care in outpatient consultation at the hospital (257 consultations). A societal perspective was adopted for calculating costs. Health outcomes were measured as quality-adjusted life years (QALYs) gained. Resource use and health outcomes were collected alongside the trial at baseline and at 12 months follow-up using questionnaires, patient charts, and consultation records. These were valued using externally collected data on unit costs and QALY weights. An extended sensitivity analysis was conducted to address the robustness of the results. RESULTS: This study showed that using videoconferencing for orthopedic consultations in the remote clinic costs less than standard outpatient consultations at the specialist hospital, as long as the total number of patient consultations exceeds 151 per year. For a total workload of 300 consultations per year, the annual cost savings amounted to €18,616. If costs were calculated from a health sector perspective, rather than a societal perspective, the number of consultations needed to break even was 183. CONCLUSIONS: This study showed that providing video-assisted orthopedic consultations to a remote clinic in Northern Norway, rather than having patients travel to the specialist hospital for consultations, is cost-effective from both a societal and health sector perspective. This conclusion holds as long as the activity exceeds 151 and 183 patient consultations per year, respectively. TRIAL REGISTRATION: ClinicalTrials.gov NCT00616837; https://clinicaltrials.gov/ct2/show/NCT00616837 (Archived by WebCite at http://www.webcitation.org/762dZPoKX).

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Metadata

Authors
Buvik, A., Bergmo, T. S., Bugge, E., Smaabrekke, A., Wilsgaard, T., & Olsen, J. A.
Venue
Journal of Medical Internet Research
Publisher
JMIR Publications Inc.
Published
2019-02-19
Volume
21
Issue
2
Pages
e11330
ISSN
1438-8871 (ISSN-L)
DOI
10.2196/11330
OpenAlex
W2903602806
Cited by
299
References
38
FWCI
28.19
Type
journal article
Language
en
Open access
gold

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