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dc.contributor.authorSmith, Anthony C
dc.contributor.authorScuffham, Paul
dc.contributor.authorWootton, Richard
dc.date.accessioned2017-05-03T14:18:36Z
dc.date.available2017-05-03T14:18:36Z
dc.date.issued2007
dc.date.modified2010-06-24T05:17:07Z
dc.identifier.issn1472-6963
dc.identifier.doi10.1186/1472-6963-7-35
dc.identifier.urihttp://hdl.handle.net/10072/15747
dc.description.abstractBackground There are few cost-minimisation studies in telemedicine. We have compared the actual costs of providing a telepaediatric service to the potential costs if patients had travelled to see the specialist in person. Methods In November 2000, we established a novel telepaediatric service for selected regional hospitals in Queensland. Instead of transferring patients to Brisbane, the majority of referrals to specialists in Brisbane were dealt with via videoconference. Since the service began, 1499 consultations have been conducted for a broad range of paediatric sub-specialities including burns, cardiology, child development, dermatology, diabetes, endocrinology, gastroenterology, nephrology, neurology, oncology, orthopaedics, paediatric surgery and psychiatry. Results During a five year period, the total cost of providing 1499 consultations through the telepaediatric service was A$955,996. The estimated potential cost of providing an outpatient service to the same number of patients at the Royal Children's Hospital in Brisbane was A$1,553,264; thus, telepaediatric services resulted in a net saving of approximately A$600,000 to the health service provider. Conclusion Telepaediatrics was a cheaper method for the delivery of outpatient services when the workload exceeded 774 consultations. A sensitivity analysis showed that the threshold point was most sensitive to changes related to patient travel costs, coordinator salaries and videoconference equipment costs. The study showed substantial savings for the health department, mainly due to reduced costs associated with patient travel.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent295285 bytes
dc.format.extent25379 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.languageEnglish
dc.language.isoeng
dc.publisherBioMed Central Ltd
dc.publisher.placeUnited Kingdom
dc.publisher.urihttp://www.biomedcentral.com/bmchealthservres/
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom1
dc.relation.ispartofpageto7
dc.relation.ispartofissue35
dc.relation.ispartofjournalBMC Health Services Research
dc.relation.ispartofvolume7
dc.rights.retentionY
dc.subject.fieldofresearchLibrary and information studies
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode4610
dc.subject.fieldofresearchcode4205
dc.titleThe costs and potential savings of a novel telepaediatric service in Queensland
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dcterms.licensehttp://creativecommons.org/licenses/by/2.0
gro.rights.copyright© 2007 Smith et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
gro.date.issued2007
gro.hasfulltextFull Text
gro.griffith.authorScuffham, Paul A.


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