Schenkel, J. and Reitmeir, P. and Von Reden, S. and Holle, R. and Boy, S. and Haberl, R. and Audebert, H. (2013) Cost Analysis of Telemedical Treatment of Stroke Changes of Inpatient Treatment Costs and Nursing Costs: The Example of the Telemedical Project for Integrated Stroke Care in Bavaria (TEMPiS). GESUNDHEITSWESEN, 75 (7). pp. 405-412. ISSN 0941-3790, 1439-4421
Full text not available from this repository. (Request a copy)Abstract
Background: Telemedicine-enabled stroke networks increase the probability of a good clinical outcome. There is a shortage of evidence about the effects of this new approach on costs for inpatient care and nursing care. Methods: We analysed health insurance and nursing care fund data of a statutory health insurance company (AOK Bayern). Data from stroke patients initially treated in a TeleStroke network (TEMPiS - telemedical project for integrative stroke care) between community hospitals and academic stroke centres were compared to data of matched hospitals without specialised stroke care and telemedical support. Costs for nursing care were obtained over a 30-month period after the initial stroke. To rule out pre-existing differences between network and control hospitals, costs of stroke care were also analysed during a time period before network implementation. Findings: 1 277 patients (767 in intervention, 510 in control hospitals) were analysed in the post-implementation period. An increased proportion of patients treated in intervention hospitals had a favourable outcome concerning the level of required nursing care. Patients in intervention hospitals had higher costs for acute inpatient care (5 309 (sic) vs. 4 901 (sic), p = 0.04), but lower nursing care fund costs (3 946 (sic) vs. 5 132 (sic); p = 0.04). There was no difference in relation to absolute total costs obtained in the post-implementation period. However, nursing care costs per survived year were significantly lower in intervention hospitals (1 953 (sic) vs. 2 635 (sic); p = 0.005). No significant differences were found in the pre-implementation period. Conclusions: Considering both health insurance and nursing care fund costs, the incremental costs for TeleStroke network care in hospitals are compensated by savings in outpatient care.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ISCHEMIC-STROKE; RESOURCE UTILIZATION; ECONOMIC-EVALUATION; PILOT PROJECT; UNIT CARE; GERMANY; ESTABLISHMENT; RECOMMENDATIONS; STRATEGIES; HOSPITALS; telemedicine; stroke; cost analysis; nursing care insurance |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Neurologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 06 Apr 2020 13:27 |
| Last Modified: | 06 Apr 2020 13:27 |
| URI: | https://pred.uni-regensburg.de/id/eprint/16409 |
Actions (login required)
 |
View Item |
