Show simple item record

dc.contributor.authorBuvik, Astrid Synnøve
dc.contributor.authorBergmo, Trine Strand
dc.contributor.authorBugge, Einar
dc.contributor.authorSmåbrekke, Arvid
dc.contributor.authorWilsgaard, Tom
dc.contributor.authorOlsen, Jan Abel
dc.date.accessioned2019-03-07T08:19:41Z
dc.date.available2019-03-07T08:19:41Z
dc.date.issued2019-02-19
dc.description.abstract<p><i>Background</i>: Telemedicine consultations using real-time videoconferencing has the potential to improve access and quality of care, avoid patient travels, and reduce health care costs.</p> <p><i>Objective</i>: The aim of this study was to examine the cost-effectiveness of an orthopedic videoconferencing service between the University Hospital of North Norway and a regional medical center in a remote community located 148 km away.</p> <p><i>Methods</i>: An economic evaluation based on a randomized controlled trial of 389 patients (559 consultations) referred to the hospital for an orthopedic outpatient consultation was conducted. The intervention group (199 patients) was randomized to receive video-assisted remote orthopedic consultations (302 consultations), while the control group (190 patients) received standard care in outpatient consultation at the hospital (257 consultations). A societal perspective was adopted for calculating costs. Health outcomes were measured as quality-adjusted life years (QALYs) gained. Resource use and health outcomes were collected alongside the trial at baseline and at 12 months follow-up using questionnaires, patient charts, and consultation records. These were valued using externally collected data on unit costs and QALY weights. An extended sensitivity analysis was conducted to address the robustness of the results.</p> <p><i>Results</i>: This study showed that using videoconferencing for orthopedic consultations in the remote clinic costs less than standard outpatient consultations at the specialist hospital, as long as the total number of patient consultations exceeds 151 per year. For a total workload of 300 consultations per year, the annual cost savings amounted to €18,616. If costs were calculated from a health sector perspective, rather than a societal perspective, the number of consultations needed to break even was 183.</p> <p><i>Conclusions</i>: This study showed that providing video-assisted orthopedic consultations to a remote clinic in Northern Norway, rather than having patients travel to the specialist hospital for consultations, is cost-effective from both a societal and health sector perspective. This conclusion holds as long as the activity exceeds 151 and 183 patient consultations per year, respectively.</p> <p><i>Trial Registration</i>: ClinicalTrials.gov NCT00616837; https://clinicaltrials.gov/ct2/show/NCT00616837 (Archived by WebCite at http://www.webcitation.org/762dZPoKX)en_US
dc.description.sponsorshipThe North Norway Regional Health Authorityen_US
dc.descriptionThe following article, Buvik, A.S., Bergmo, T.S., Bugge, E., Småbrekke, A., Wilsgaard, T. & Olsen, J.A. (2019). Cost-Effectiveness of Telemedicine in Remote Orthopedic Consultations: Randomized Controlled Trial. <i>Journal of Medical Internet Research, 21</i>(2), can be accessed at <a href=https://doi.org/10.2196/11330> https://doi.org/10.2196/11330</a>.en_US
dc.identifier.citationBuvik, A.S., Bergmo, T.S., Bugge, E., Småbrekke, A., Wilsgaard, T. & Olsen, J.A. (2019). Cost-Effectiveness of Telemedicine in Remote Orthopedic Consultations: Randomized Controlled Trial. <i>Journal of Medical Internet Research, 21</i>(2). https://doi.org/10.2196/11330en_US
dc.identifier.cristinIDFRIDAID 1654123
dc.identifier.doi10.2196/11330
dc.identifier.issn1438-8871
dc.identifier.urihttps://hdl.handle.net/10037/14877
dc.language.isoengen_US
dc.publisherJMIR Publicationsen_US
dc.relation.ispartofBuvik, A.S. (2020). Telemedicine in remote orthopaedic consultations: A randomised controlled trial. (Doctoral thesis). <a href=https://hdl.handle.net/10037/19324>https://hdl.handle.net/10037/19324</a>.
dc.relation.journalJournal of Medical Internet Research
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en_US
dc.subjecttelemedicineen_US
dc.subjectorthopedicsen_US
dc.subjectvideoconferencingen_US
dc.subjectremote consultationen_US
dc.subjectoutpatientsen_US
dc.subjectrandomized controlled trialen_US
dc.subjecteconomic evaluationen_US
dc.subjectcost-effectiveness analysisen_US
dc.subjectQALYen_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806en_US
dc.titleCost-Effectiveness of Telemedicine in Remote Orthopedic Consultations: Randomized Controlled Trialen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


File(s) in this item

Thumbnail

This item appears in the following collection(s)

Show simple item record