Doolittle G C, Harmon A, Williams A, Allen A, Boysen C D, Wittman C, Mair F, Carlson E
University of Kansas Medical Center, Kansas City, USA.
J Telemed Telecare. 1997;3 Suppl 1:20-2. doi: 10.1258/1357633971930850.
Costs were monitored for three different types of oncology practice: a telemedicine clinic and a fly-in outreach clinic, both held in rural areas, and a traditional clinic held in a city hospital. Total expenses were calculated over the year May 1995 to April 1996. The average cost per telemedicine visit was $812. The average cost per outreach clinic visit was $897. Flying in oncology support for this practice was therefore about 10% more costly than telemedicine. While the outreach cost may have been inappropriately high due to a slow start-up phase, it was still less expensive during this period to be seen via telemedicine. For comparison, the average cost per traditional oncology clinic visit was $149. However, this figure does not take into account the costs of access to a city-based service by rural patients.
一个远程医疗诊所和一个在农村地区举办的上门服务诊所，以及一个在城市医院开设的传统诊所。计算了1995年5月至1996年4月这一年的总费用。每次远程医疗就诊的平均成本为812美元。每次上门服务诊所就诊的平均成本为897美元。因此，这种上门服务的肿瘤学支持成本比远程医疗高出约10%。虽然由于启动阶段缓慢，上门服务成本可能过高，但在此期间通过远程医疗就诊仍然更便宜。相比之下，传统肿瘤学诊所每次就诊的平均成本为149美元。然而，这个数字没有考虑农村患者获得城市服务的成本。
