Chodroff P H
John Muir/Mt Diablo Health System, Walnut Creek, CA, USA.
J Telemed Telecare. 1999;5 Suppl 1:S28-30. doi: 10.1258/1357633991932441.
The Telemedical Emergency Neurosurgical Network (TENN) was developed to establish community-level access to neurosurgical critical care services for an underserved urban population. Since October 1994, the system has provided round-the-clock connectivity between a single peripheral hospital and a 10-station receiving network which includes physicians' homes and offices. Data from the first 35 months of operation confirm clinical efficacy and cost-effectiveness. The primary benefit was in providing rapid access to care for an 'at-risk' underserved population in emergencies. This undoubtedly resulted in the actual saving of life and prevention of permanent disability. The total costs over the 35 months were calculated as $64,375 and the total savings (mainly in avoided air transport) were $626,149, a net saving of $561,774.
远程医疗紧急神经外科网络（TENN）的建立是为了让服务不足的城市人口能够在社区层面获得神经外科重症监护服务。自1994年10月以来，该系统在一家外围医院与一个由10个站点组成的接收网络（包括医生的家和办公室）之间提供了全天候连接。运营头35个月的数据证实了其临床疗效和成本效益。主要益处在于为紧急情况下服务不足的“高危”人群提供了快速就医途径。这无疑挽救了生命并预防了永久性残疾。35个月的总成本计算为64,375美元，总节省（主要是避免了空中运输）为626,149美元，净节省为561,774美元。
