| Autor: |
Isetta, Valentina, Lopez-Agustina, Carme, Lopez-Bernal, Esther, Amat, Maribel, Vila, Montserrat, Valls, Carme, Navajas, Daniel, Farre, Ramon |
| Jazyk: |
angličtina |
| Rok vydání: |
2013 |
| Předmět: |
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| Zdroj: |
Journal of Medical Internet Research, Vol 15, Iss 2, p e38 (2013) |
| Druh dokumentu: |
article |
| ISSN: |
1438-8871 |
| DOI: |
10.2196/jmir.2361 |
| Popis: |
BackgroundThe application of information and communication technologies in nursing care is becoming more widespread, but few applications have been reported in neonatal care. A close monitoring of newborns within the first weeks of life is crucial to evaluating correct feeding, growth, and health status. Conventional hospital-based postdischarge monitoring could be improved in terms of costs and clinical effectiveness by using a telemedicine approach. ObjectiveTo evaluate the cost-effectiveness of a new Internet-based system for monitoring low-risk newborns after discharge compared to the standard hospital-based follow-up, with specific attention to prevention of emergency department (ED) visits in the first month of life. MethodsWe performed a retrospective cohort study of two low-risk newborn patient groups. One group, born between January 1, 2011, and June 30, 2011, received the standard hospital-based follow-up visit within 48 hours after discharge. After implementing an Internet-based monitoring system, another group, born between July 19, 2011, and January 19, 2012, received their follow-up with this system. ResultsA total of 18 (15.8%) out of 114 newborns who received the standard hospital-based follow-up had an ED visit in the first month of life compared with 5 (5.6%; P=.026) out of 90 infants who were monitored by the Internet-based system. The cost of the hospital-based follow-up was 182.1€ per patient, compared with 86.1€ for the Internet-based follow-up. ConclusionOur Internet-based monitoring approach proved to be both more effective and less costly than the conventional hospital-based follow-up, particularly through reducing subsequent ED visits. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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