A Prenatal Remote Monitoring Program in Pregnancies Complicated with Gestational Hypertensive Disorders: What Are the Contributors to the Cost Savings?
| Autor: | Sharona Vonck, Wilfried Gyselaers, Valerie Storms, Thijs Vandenberk, Cédric Schraepen, Inge M Thijs, Dorien Lanssens, Lars Grieten |
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| Přispěvatelé: | LANSSENS, Dorien, VONCK, Sharona, VANDENBERK, Thijs, Schraepen, Cedric, STORMS, Valerie, THIJS, Inge, GRIETEN, Lars, GYSELAERS, Wilfried |
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty 020205 medical informatics Cost-Benefit Analysis MEDLINE Monitoring Ambulatory Gestational Age Health Informatics 02 engineering and technology State Medicine Young Adult Belgium Health Information Management cost analysis Cost Savings Pregnancy Accelerometry 0202 electrical engineering electronic engineering information engineering medicine Animals Humans remote monitoring Retrospective Studies business.industry pregnancy-induced hypertension Body Weight Hypertension Pregnancy-Induced General Medicine Blood Pressure Monitoring Ambulatory Monitoring program Telemedicine Cost savings Emergency medicine Cost analysis Gestation Female Health Expenditures business Models Econometric |
| Zdroj: | Telemedicine and e-Health. 25:686-692 |
| ISSN: | 1556-3669 1530-5627 |
| DOI: | 10.1089/tmj.2018.0147 |
| Popis: | Background:In 2015, we performed a cost analysis of a prenatal remote monitoring (RM) program compared with conventional care (CC) for women diagnosed with gestational hypertensive disorders (GHD).Introduction:We investigated where the cost savings were distributed by dividing our patient population into three subgroups, according to the gestational age (GA) at the time of delivery: (1) 37 weeks of GA.Materials and Methods:Health care costs were calculated from patient-specific hospital bills at Ziekenhuis Oost Limburg (Genk, Belgium) in 2015-2016. Cost comparisons were made from the perspectives of the Belgium national health care system (HCS), the National Institution for Insurance of Disease and Disability (RIZIV), and the costs to individual patients.Results:A total of 256 pregnant women were included, 80 (31.25%) of whom received RM and 176 (68.75%) of whom received CC. The greatest difference in costs between RM and CC was in the group that delivered before 34 weeks of GA, followed by the group who delivered after 37 weeks of GA, and then the group of women who delivered at 34-37 weeks of GA. Most of the cost savings were in neonatal care, for both the three separate study subgroups and the total study group.Discussion and Conclusion:Our data showed that RM is more cost-effective than CC for pregnant women with GHD. Further investigation of the effects of RM on the long-term economic and social costs is recommended, together with an analysis of the price that should be asked for RM services. We thank the obstetricians and midwives of the Department of Gynecology at the Ziekenhuis Oost-Limburg and the other hospitals participating in the PREMOM project (JESSA Ziekenhuis, Hasselt; Sint-Franciskusziekenhuis, Heusden-Zolder; Ziekenhuis Maas en Kempen, Bree; Mariaziekenhuis Noord-Limburg, Overpelt; Sint Trudo, Sint Truiden; and AZ Vesalius, Tongeren). We also like to thank the financial department of the Ziekenhuis Oost-Limburg (Genk, Belgium) for their assistance and support during this study. This study is part of the Limburg Clinical Research Program (LCRP) UHasselt-ZOL-Jessa, supported by the Foundation Limburg Sterk Merk, the province of Limburg, the Flemish Government, Hasselt University, Ziekenhuis Oost-Limburg, and Jessa Hospital. This work was supported by Foundation Mustela (Laureate 2016). |
| Databáze: | OpenAIRE |
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