Norum Jan, Bergmo Trine S, Holdø Bjørn, Johansen May V, Vold Ingar N, Sjaaeng Elisabeth E, Jacobsen Heidi
Department of Oncology, University Hospital of North Norway, Tromsø, Norway.
J Telemed Telecare. 2007;13(4):180-4. doi: 10.1258/135763307780908085.
We established a tele-obstetric service connecting the Department of Obstetrics and Gynaecology at the Nordland Hospital in Bodø to the delivery unit at the Nordland Hospital in Lofoten. The telemedicine service included a videoconferencing link (3 Mbit/s) for transmission of ultrasound scans and a low-speed data link (telephone modem) for transmission of cardiotocograms (CTGs). One hundred and thirty pregnant women entered the antenatal clinic in Lofoten during the eight-month study period. A total of 140 CTGs were recorded. The tele-ultrasound service was used in five cases (4%). The cases were serious malformation, Down's syndrome, breech presentation, vaginal bleeding during pregnancy and triplets. Analysis showed that the cost of patient travel was NOK 2460 per transfer. The variable cost of videoconferencing was NOK 250 per consultation. However, the total investment costs for the telemedicine service, including the broadband infrastructure, was NOK 1.7 million (Euro 212,000). The telemedicine service was not cost saving at annual workloads below 208. We conclude that the installation has to be used by other medical specialities to make it cost-effective.
我们建立了一项远程产科服务，将博德市诺德兰医院的妇产科与罗弗敦群岛诺德兰医院的分娩单元连接起来。远程医疗服务包括一个用于传输超声扫描的视频会议链接（3兆比特/秒）和一个用于传输胎心监护图（CTG）的低速数据链接（电话调制解调器）。在为期八个月的研究期间，130名孕妇进入了罗弗敦群岛的产前诊所。共记录了140份胎心监护图。远程超声服务在5例（4%）中使用。这些病例为严重畸形、唐氏综合征、臀位、孕期阴道出血和三胞胎。分析表明，每次转运患者的差旅费为2460挪威克朗。视频会议的可变成本为每次会诊250挪威克朗。然而，包括宽带基础设施在内的远程医疗服务的总投资成本为170万挪威克朗（21.2万欧元）。在年工作量低于208时，远程医疗服务并不节省成本。我们得出结论，该设施必须被其他医学专科使用才能具有成本效益。
