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Cost-effectiveness of tele-video-consultation for the neuro-surgical emergency management at the general hospitals in Italy

Kadel, Rajendra, Evans-Lacko, Sara, Tramarin, Andrea and Stopazzolo, Giampaolo (2018) Cost-effectiveness of tele-video-consultation for the neuro-surgical emergency management at the general hospitals in Italy. Frontiers in Neuroscience, 12 (908). ISSN 1662-453X

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Identification Number: 10.3389/fnins.2018.00908

Abstract

Background: Neuro-surgical emergencies are serious (long-term disability and high mortality) and costly to the national health services. Tele-medicine intervention can facilitate to reduce this gap. Our study aims to evaluate the cost-effectiveness of tele-video-consultation intervention for the management of neuro-surgical emergencies in the general hospitals. Methods: We retrieved health service data from the tele-consultation service, online tele-medicine database portal and hospital patient registry, between January 2009 and December 2012 and evaluated cost-effectiveness of the tele-video-consultation intervention from an Italian National Health Service perspective. Results: Seventy-five percent of the tele-consultations were completed within 15 min and 90% within 30 min. The average costs were €2,326 in the intervention group and €4,173 in the care as usual group. The intervention avoided 73% potential transfer (saving of 139,916 km travel distance during a 4-years period). The incremental cost-saving per transfer avoided from the tele-medicine intervention was €365. Conclusions: Tele-medicine intervention could be worth investing from the Italian National Health Service perspective.

Item Type: Article
Official URL: https://www.frontiersin.org/journals/neuroscience#...
Additional Information: © 2018 The Authors
Divisions: Personal Social Services Research Unit
Subjects: R Medicine > R Medicine (General)
T Technology > T Technology (General)
Sets: Research centres and groups > Personal Social Services Research Unit (PSSRU)
Date Deposited: 06 Dec 2018 11:49
Last Modified: 14 Jul 2019 23:02
URI: http://eprints.lse.ac.uk/id/eprint/91031

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