Doolittle G C, Williams A, Harmon A, Allen A, Boysen C D, Wittman C, Mair F, Carlson E
Division of Clinical Oncology, University of Kansas Medical Center, Kansas City 66160-7353, USA.
J Telemed Telecare. 1998;4(2):84-8. doi: 10.1258/1357633981932000.
The costs of providing oncology services in three different ways were measured. Services were provided to a peripheral hospital by: conventional clinics, in which the oncologist worked at the hospital concerned; outreach clinics, in which an oncologist was flown in periodically from a central hospital; telemedicine clinics, in which the oncologist at the central hospital practised via a video-link. During a one-year study period, 2400 patients were seen in conventional clinics, 81 in outreach clinics and 103 in telemedicine clinics. At these workloads the average costs per patient were $149, $897 and $812, respectively. However, the average costs cannot be compared directly without further information about the shape of the unit cost curves.
对以三种不同方式提供肿瘤学服务的成本进行了测算。服务通过以下方式提供给一家外围医院：传统诊所，肿瘤学家在相关医院工作；外展诊所，肿瘤学家定期从中心医院飞抵；远程医疗诊所，中心医院的肿瘤学家通过视频链接开展业务。在为期一年的研究期间，传统诊所接待了2400名患者，外展诊所接待了81名患者，远程医疗诊所接待了103名患者。在这些工作量下，每名患者的平均成本分别为149美元、897美元和812美元。然而，在没有关于单位成本曲线形状的更多信息的情况下，平均成本无法直接进行比较。
