McCue M J, Mazmanian P E, Hampton C L, Marks T K, Fisher E J, Parpart F, Malloy W N, Fisk K J
Medical College of Virginia Campus, Virginia Commonwealth University, Richmond, Virginia 23298, USA.
Telemed J. 1998 Winter;4(4):323-7. doi: 10.1089/tmj.1.1998.4.323.
To present the follow-up findings to a cost-benefit analysis of telemedicine subspecialty services provided between the Powhatan Correctional Center (PCC) of the Virginia Department of Corrections and the Medical College of Virginia Campus of Virginia Commonwealth University (MCV Campus).
Costs included those of operating the telemedicine system, transportation, litigation avoidance, and the medical care itself.
Over a 12-month study period, the total number of consults completed through telemedicine was 290. The cost per visit of treating inmates at the MCV Campus clinics was $401. The cost per visit of treating inmates at PCC via telemedicine was $387, a net saving of $14 per visit with the use of telemedicine.
As a result of implementing telemedicine, the Department of Corrections for the State of Virginia was able to achieve a cost saving of $14 per visit. Nonmonetary cost savings, such as greater security and increased access to care, should be considered a net benefit as well.
展示弗吉尼亚州惩教部波瓦坦惩教中心（PCC）与弗吉尼亚联邦大学弗吉尼亚医学院校区（MCV校区）之间提供的远程医疗专科服务成本效益分析的随访结果。
成本包括运营远程医疗系统、交通、避免诉讼以及医疗护理本身的成本。
在为期12个月的研究期间，通过远程医疗完成的会诊总数为290次。在MCV校区诊所治疗囚犯的每次就诊成本为401美元。通过远程医疗在PCC治疗囚犯的每次就诊成本为387美元，使用远程医疗每次就诊净节省14美元。
由于实施了远程医疗，弗吉尼亚州惩教部每次就诊能够节省14美元。诸如更高的安全性和更多的医疗服务可及性等非货币成本节省也应被视为净效益。
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