Bergmo T S
National Centre of Telemedicine, University Hospital of Tromsø, Norway.
J Telemed Telecare. 2000;6(5):273-7. doi: 10.1258/1357633001935905.
Realtime teledermatology has been a routine service provided by the University Hospital of Tromsø to a primary-care centre in Kirkenes since 1989. The cost of the teledermatology service was compared with the costs of three alternative methods of treatment for the patients. The first was a combination of a visiting service and patient travel to hospital. The second was patient travel to the nearest secondary-care centre. The third was a locally employed dermatologist. At the actual 1998 workload of 375 patients, the total cost of teledermatology was NKr470,780, while the three alternatives cost NKr880,530, NKr1,635,075 and NKr958,660, respectively. Analysis of the unit costs showed that the realtime teledermatology service, including local phototherapy, was less costly than the three alternatives for annual workloads above 195 patients per year. A sensitivity analysis showed that the results were robust to changes in the assumptions about the cost structure.
自1989年以来，实时远程皮肤病学一直是特罗姆瑟大学医院向希尔克内斯的一个初级保健中心提供的常规服务。将远程皮肤病学服务的成本与为患者提供的三种替代治疗方法的成本进行了比较。第一种是出诊服务与患者前往医院的组合。第二种是患者前往最近的二级保健中心。第三种是当地聘用皮肤科医生。在1998年实际的375名患者工作量下，远程皮肤病学的总成本为470,780挪威克朗，而三种替代方法的成本分别为880,530挪威克朗、1,635,075挪威克朗和958,660挪威克朗。单位成本分析表明，对于每年超过195名患者的年度工作量，包括局部光疗在内的实时远程皮肤病学服务的成本低于三种替代方法。敏感性分析表明，结果对于成本结构假设的变化具有稳健性。
