Tõrõk M, Kovács F, Doszpod J
Haynal Imre University of Health Sciences, Budapest, Hungary.
J Telemed Telecare. 2000;6 Suppl 1:S69-70. doi: 10.1258/1357633001934203.
We compared the cost of passive sensor telemedical non-stress cardiotocography performed at home and the same test performed by traditional equipment in an outpatient clinic in the Budapest area. The costs were calculated using two years' registered budget data from the home monitoring service in Budapest and the outpatient clinic of the department of obstetrics and gynaecology at the Haynal Imre University of Health Sciences. The traditional test at the university outpatient clinic cost 3652 forint for the health-care and 1000 forint in additional expenses for the patient (travel and time off work). This means that the total cost for each test in the clinic was 4652 forint. The cost of home telemedical cardiotocography was 1500 forint per test, but each test took 2.1 times as long. For a more realistic comparison between the two methods, we adjusted the cost to take account of the extra length of time that home monitoring required. The adjusted cost for home care was 3150 forint, some 32% lower than in the clinic. Passive sensor telemedical non-stress cardiotocography at home was therefore less expensive than the same test performed in the traditional way in an outpatient clinic.
我们比较了在家中进行的被动传感器远程医疗无应激胎心监护的成本，以及在布达佩斯地区一家门诊诊所使用传统设备进行相同检测的成本。成本是根据布达佩斯家庭监测服务以及海纳尔·伊姆雷健康科学大学妇产科门诊两年的注册预算数据计算得出的。大学门诊诊所的传统检测，医疗保健费用为3652福林，患者额外费用（交通和误工）为1000福林。这意味着诊所每次检测的总成本为4652福林。家庭远程医疗胎心监护每次检测费用为1500福林，但每次检测所需时间是传统检测的2.1倍。为了对两种方法进行更实际的比较，我们对成本进行了调整，以考虑家庭监测所需的额外时间。家庭护理的调整后成本为3150福林，比诊所的成本低约32%。因此，在家中进行的被动传感器远程医疗无应激胎心监护比在门诊诊所采用传统方式进行相同检测的成本更低。
