Research Service, Harry S. Truman Memorial Veterans' Hospital, Department of Medicine, University of Missouri School of Medicine, Columbia, Missouri.
Telemed J E Health. 2010 Mar;16(2):223-8. doi: 10.1089/tmj.2009.0100.
Abstract Economic considerations are an important component in the planning and execution of a telemedicine program. The goal of this review is to familiarize readers with economic concepts relevant to the analysis of telemedicine programs. Economic perspectives, cost attribution, types of economic analysis, and commonly encountered problems will be discussed as they pertain to telemedicine. Societal perspectives, healthcare system perspectives, patient perspectives, fixed versus variable costs, labor costs, and distinctions between cost-effectiveness analyses and other types of economic analysis also will be examined. Examples from the teledermatology literature will be used as a paradigm to illustrate how these concepts are integrated into existing analyses of teledermatology systems. Teledermatology shows promise as a cost-saving healthcare delivery system with outcomes comparable to or better than those of conventional care processes. The literature also points out the importance of economic perspectives in the findings and interpretation of an analysis.
摘要
经济因素是远程医疗规划和实施过程中的一个重要组成部分。本文的目的是让读者熟悉与远程医疗项目分析相关的经济概念。本文将讨论与远程医疗相关的经济观点、成本归属、经济分析类型以及常见问题。此外，本文还将探讨社会视角、医疗体系视角、患者视角、固定成本与变动成本、劳动力成本，以及成本效益分析与其他类型经济分析之间的区别。本文将以远程皮肤病学文献为例，说明如何将这些概念整合到现有的远程皮肤病学系统分析中。远程皮肤病学具有降低医疗成本的潜力，其提供的医疗服务的效果与传统医疗流程相当，甚至更好。文献还指出，在分析结果和解释中纳入经济观点的重要性。
