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dc.contributor.authorTaylor, Monica
dc.contributor.authorCaffery, Liam J
dc.contributor.authorScuffham, Paul A
dc.contributor.authorSmith, Anthony C
dc.date.accessioned2019-05-29T13:16:17Z
dc.date.available2019-05-29T13:16:17Z
dc.date.issued2018
dc.identifier.issn0156-5788
dc.identifier.doi10.1071/AH17135
dc.identifier.urihttp://hdl.handle.net/10072/382362
dc.description.abstractObjective: The provision of healthcare services to inmates in correctional facilities is costly and resource-intensive. This study aimed to estimate the costs of transporting prisoners from 11 Queensland correctional facilities to the Princess Alexandra Hospital Secure Unit (PAHSU) in Brisbane for non-urgent specialist outpatient consultations and identify the cost consequences that would result from the substitution of face-to-face visits with telehealth consultations. Methods: A 12-month retrospective review of patient activity at the PAHSU was conducted to obtain the number of transfers per correctional facility. The total cost of transfers was calculated with estimates for transport vehicle costs and correctional staff escort wages, per diem and accommodation costs. A cost model was developed to estimate the potential cost savings from substituting face-to-face consultations with telehealth consultations. A sensitivity analysis on the cost variables was conducted. Costs are reported from a government funding perspective and presented in 2016 Australian dollars (A$). Results: There were 3539 inmate appointments from July 2015 to June 2016 at the PAHSU, primarily for imaging, general practice, and orthopaedics. Telehealth may result in cost savings from negligible to A$969 731, depending on the proportion, and travel distance, of face-to-face consultations substituted by telehealth. Wages of correctional staff were found to be the most sensitive variable. Conclusions: Under the modelled conditions, telehealth may reduce the cost of providing specialist outpatient consultations to prisoners in Queensland correctional facilities. Telehealth may improve the timeliness of services to a traditionally underserved population.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherCSIRO Publishing
dc.publisher.placeAustralia
dc.relation.ispartofpagefrom522
dc.relation.ispartofpageto528
dc.relation.ispartofissue5
dc.relation.ispartofjournalAustralian Health Review
dc.relation.ispartofvolume42
dc.subject.fieldofresearchHealth services and systems not elsewhere classified
dc.subject.fieldofresearchPublic health not elsewhere classified
dc.subject.fieldofresearchcode420399
dc.subject.fieldofresearchcode420699
dc.titleEconomic modelling of telehealth substitution of face-to-face specialist outpatient consultations for Queensland correctional facilities
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorScuffham, Paul A.


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