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Is cardiac consultation with remote-controlled real-time echocardiography a wise use of resources?
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Public Health Sciences.ORCID iD: 0000-0002-5348-7698
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Medicine. (Department of Medicine, Skellefteå County Hospital, Skellefteå, Sweden ; Arcum)
Department of Medicine, Skellefteå County Hospital, Skellefteå, Sweden. (Arcum)
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Public Health Sciences.ORCID iD: 0000-0002-1633-2179
2009 (English)In: Telemedicine journal and e-health, ISSN 1530-5627, E-ISSN 1556-3669, Vol. 15, no 5, 431-438 p.Article in journal (Refereed) Published
Abstract [en]

Northern Sweden is a sparsely populated area with six hospitals and about 50 healthcare centers. The elderly population is a large proportion of the total of population, and the incidence of cardiovascular disease is high. The objective of this research was to analyze the costs and benefits of cardiac consultation in healthcare centers involving long-distance, remote-controlled, real-time echocardiography. The distance diagnostics were developed and tested in two healthcare centers. Experiences of the feasibility of this approach were used as a basis for an economic analysis with regard to heart failure. The societal costs for two different systems were calculated, namely, traditional hospital diagnosis versus distance diagnosis using the new system. The potential prime gainers were the patients. Their traveling time, and thereby their time costs, were significantly reduced. The quality of care may also have been improved. From the health authorities' perspective, the costs of the two systems were approximately equal. Since county council costs are not greatly affected, the large reduction in patient travel time and the improved quality of care ought to be a sufficient incentive for large-scale tests.

Place, publisher, year, edition, pages
2009. Vol. 15, no 5, 431-438 p.
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-25318DOI: 10.1089/tmj.2008.0148PubMedID: 19548823OAI: oai:DiVA.org:umu-25318DiVA: diva2:229422
Available from: 2009-08-12 Created: 2009-08-12 Last updated: 2017-12-13Bibliographically approved

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