Moser Patrizia L, Stadlmann Sylvia, Heinzle Günther, Pollheimer Jürgen, Mikuz Gregor, Sögner Peter, Lorenz Ingo H, Kolbitsch Christian
Department of Pathology, University of Innsbruck, Austria.
J Telemed Telecare. 2003;9(4):200-3. doi: 10.1258/135763303322225517.
We compared the costs of a dynamic, robotic telepathology service for intraoperative frozen sections with the cost of a once-weekly visiting pathologist service established between the small Reutte Hospital, located in north-western Tyrol, and the department of pathology of the University of Innsbruck. Telepathology required either 15 min or 30 min per case in order to make a diagnosis, depending on the type of tissue and the operator's experience in handling the telepathology system. Costs were calculated for a five-year period. The main costs of the telepathology service were for set-up, whereas the main costs of the visiting pathologist service concerned personnel. The threshold at which telepathology was cheaper than the visiting pathologist service was 46 cases per month (15 min for diagnosis) or 135 cases per month (30 min for diagnosis). The present case-load (eight cases per month) at the study hospital was below this threshold.
我们将术中冰冻切片的动态机器人远程病理服务成本与位于蒂罗尔州西北部的小鲁特医院和因斯布鲁克大学病理科之间建立的每周一次的病理医生上门服务成本进行了比较。根据组织类型和操作人员使用远程病理系统的经验，远程病理诊断每个病例需要15分钟或30分钟。成本计算期为五年。远程病理服务的主要成本在于设备安装，而病理医生上门服务的主要成本在于人员。远程病理比病理医生上门服务更便宜的阈值是每月46例（诊断需要15分钟）或每月135例（诊断需要30分钟）。研究医院目前的病例量（每月8例）低于这个阈值。
