Adjusted cost analysis of video televisits for the care of people with amyotrophic lateral sclerosis
| Autor: | James D. Berry, Lee H. Schwamm, Fabiola De Marchi, Katherine Burke, Kristin Drake, Juan Estrada, Sabrina Paganoni, Nazem Atassi, Katherine Nicholson, Amy Swartz Ellrodt, Suma Babu, Michael P. Doyle, Marc van de Rijn |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Telemedicine Physiology Telehealth 030105 genetics & heredity TeleHealth 03 medical and health sciences Cellular and Molecular Neuroscience 0302 clinical medicine Cost of Illness cost analysis Cost Savings Physiology (medical) Health care Physician perception medicine Ambulatory Care Humans Amyotrophic lateral sclerosis Sensitivity analyses health care economics and organizations Clinical Research Articles Clinical Research Article Travel business.industry Perspective (graphical) Amyotrophic Lateral Sclerosis medicine.disease Caregivers Cost analysis Physical therapy video televisits Costs and Cost Analysis Housing Videoconferencing Neurology (clinical) ALS Sick Leave business 030217 neurology & neurosurgery multidisciplinary |
| Zdroj: | Muscle & Nerve |
| ISSN: | 1097-4598 0148-639X |
| Popis: | Introduction: We previously reported our amyotrophic lateral sclerosis (ALS) video televisit experience. Here we report on video televisit versus in‐clinic costs, adjusting for perceived medical usefulness (MU). Methods: We take the patient‐perspective and a focused institutional‐perspective. Costs are adjusted for patient/caregiver and physician perceptions of visit MU. The base‐case reflects our outpatient ALS practice. Results: In the base‐case, from the patient perspective, in‐clinic visits cost $1,116 and video televisits cost $89 ($119 after MU‐adjustment). From the institutional perspective, clinic visits cost $799, and video televisits cost $354 ($472 after MU‐adjustment). Adjusted cost‐savings per televisit are $997 (patient) and $327 (institution). Sensitivity analyses on 5 variables accounted for uncertainty in base‐case assumptions. Conclusions: Video televisits provide marked adjusted cost‐savings for patients and institutions. Adjusted costs are sensitive to perceived MU of video televisits. Future research should explore the ability of video televisits to reduce healthcare resource usage. Muscle Nerve 60: 147–154, 2019 |
| Databáze: | OpenAIRE |
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