« Previous AbstractCharacterization of the END1 gene required for vacuole biogenesis and gluconeogenic growth of budding yeast    Next AbstractControl of voluntary intake of precision-chopped silages by ruminants: a review »

Value Health

Title:		"Impact of a University-Based Outpatient Telemedicine Program on Time Savings, Travel Costs, and Environmental Pollutants"
Author(s):		Dullet NW; Geraghty EM; Kaufman T; Kissee JL; King J; Dharmar M; Smith AC; Marcin JP;
Address:		"Touro University College of Osteopathic Medicine, Vallejo, CA, USA. University of California Davis, CA, USA. UC Davis School of Medicine, Sacramento, CA, USA. University of Queensland, Brisbane, Queensland, Australia. UC Davis School of Medicine, Sacramento, CA, USA. Electronic address: jpmarcin@ucdavis.edu"
Journal Title:		Value Health
Year:		2017
Volume:		20170306
Issue:		4
Page Number:		542 - 546
DOI:		10.1016/j.jval.2017.01.014
ISSN/ISBN:		1524-4733 (Electronic) 1098-3015 (Linking)
Abstract:		"OBJECTIVE: The objective of this study was to estimate travel-related and environmental savings resulting from the use of telemedicine for outpatient specialty consultations with a university telemedicine program. METHODS: The study was designed to retrospectively analyze the telemedicine consultation database at the University of California Davis Health System (UCDHS) between July 1996 and December 2013. Travel distances and travel times were calculated between the patient home, the telemedicine clinic, and the UCDHS in-person clinic. Travel cost savings and environmental impact were calculated by determining differences in mileage reimbursement rate and emissions between those incurred in attending telemedicine appointments and those that would have been incurred if a visit to the hub site had been necessary. RESULTS: There were 19,246 consultations identified among 11,281 unique patients. Telemedicine visits resulted in a total travel distance savings of 5,345,602 miles, a total travel time savings of 4,708,891 minutes or 8.96 years, and a total direct travel cost savings of $2,882,056. The mean per-consultation round-trip distance savings were 278 miles, average travel time savings were 245 minutes, and average cost savings were $156. Telemedicine consultations resulted in a total emissions savings of 1969 metric tons of CO(2), 50 metric tons of CO, 3.7 metric tons of NO(x), and 5.5 metric tons of volatile organic compounds. CONCLUSIONS: This study demonstrates the positive impact of a health system's outpatient telemedicine program on patient travel time, patient travel costs, and environmental pollutants"
Keywords:		"Ambulatory Care/economics/*methods California Cost Savings Cost-Benefit Analysis *Efficiency Environmental Monitoring Environmental Pollutants/*adverse effects *Health Care Costs *Hospitals, University Humans Program Evaluation Remote Consultation/economi;"
Notes:		"MedlineDullet, Navjit W Geraghty, Estella M Kaufman, Taylor Kissee, Jamie L King, Jesse Dharmar, Madan Smith, Anthony C Marcin, James P eng 2017/04/15 Value Health. 2017 Apr; 20(4):542-546. doi: 10.1016/j.jval.2017.01.014. Epub 2017 Mar 6"