Navigation Links
Telemedicine could eradicate many expensive ED visits

A community-wide study in upstate New York found that nearly 28 percent of all visits to the pediatric emergency department could have been replaced with a more cost-effective Internet doctors visit, or telemedicine, according to investigators from the University of Rochester Medical Center. The Rochester team will present these findings and more at this year's Pediatric Academic Society Meeting, to be held Friday, May 2 through Tuesday, May 6, in Honolulu, Hawaii.

We learned that more than one in four local patients are using the pediatric emergency department for non-emergencies, said Kenneth McConnochie, M.D., M.P.H., the studys lead investigator and a professor of Pediatrics at the University of Rochesters Golisano Childrens Hospital at Strong. This mismatch of needs and resources is inefficient, costly and impersonal for everyone involved.

McConnochie and colleagues who direct Health-e-Access, a Rochester-based telemedicine program that provides interactive, Internet-based health care visits to diagnose and treat routine childhood symptoms in 19 urban and suburban schools and childcare centers analyzed data from 2006, tracking all pediatric (younger than 19) visits to the largest emergency department in the city.

Given experience with over 6,000 successfully-managed telemedicine visits that illustrate the extent of technologys capabilities, unique diagnoses from more than 22,000 pediatric ED visits were coded into various categories first, ailments that virtually always prove manageable by telemedicine, such as ear infections or sore throats; second problems that are usually treatable through telemedicine, but not always, such as asthma attacks; and finally, conditions that were usually beyond the scope of the technology.

Nearly 28 percent of ED visits fell into that first category; had these same problems been handled by telemedicine, this community would have had at least 12,000 fewer ED visits that year.

This wouldve not only freed up emergency resources to people who needed them more it would have afforded smaller co-pays for parents and more timely, personalized care, McConnochie said. (On average, 87 percent of these telemedicine visits are handled by the childs own family pediatrician.)

But parents arent the only ones who stand to benefit. McConnochie, in related research also being presented at the upcoming meeting, suggests that telemedicine will also serve the ultimate objectives of insurers and the community as well better quality care at a lower price. Typically, insurers have been wary of embracing the technology, fearing the convenience may lead parents to use medical care more often and drive up costs; but another community study from Rochester suggests the exact opposite that in the long run, insurers actually would realize cost savings more than $14 per child per year in that local community.

In that study, researchers analyzed two groups of children that were almost identical except one had access to their doctors office, the emergency department, and telemedicine technology for care, and the second had only the first two options. They tracked how often families used services, and which ones.

We found that the first group of families, which had access to telemedicine for their children, did in fact access care for illness overall nearly 23 percent more often than the second group, McConnochie said.

But since emergency department visits among these children with telemedicine access were nearly 24 percent less common and since these visits cost about 7-times the cost of a doctor office or telemedicine visit the telemedicine group ultimately still cost the insurers less per child over the course of a year.

Its similar to the idea of staying trim by eating healthy. It would be wrong to assume that someone who ate 20 items of food each day all lean and nutritious would be less healthy than someone who ate only 12 items all high-fat, high-calorie, like donuts and fries, he said. You can see how the logic of only counting food items (or total visits) falls apart. Clearly cost, as well as frequency, plays a role, whether the cost of each unit is measured in calories or dollars.


Contact: Becky Jones
University of Rochester Medical Center

Related medicine news :

1. Talking up a new role for cell phones in telemedicine
2. Latest Studies Show Consumer-Directed Telemedicine Solutions Like Consult A Doctor Lower Costs While Providing Greater Access to Affordable, Quality Healthcare.
3. Telemedicine publication expands coverage
4. XTend Medical (XDMC) Adds New Bluetooth(R) Telemedicine Products From A&D Medical
5. Common Medications Could Cause Physical Impairment in the Elderly
6. New Lewin Group Analysis: Medicare Cuts for Nursing Facility Care Could Have Economic Impact Up to $4.2 Billion, Threaten Jobs
7. New treatment could reduce chronic lung disease in premature babies
8. Crime Scene Investigation methods could help in the battle against hospital infections
9. Cancer could return unless stored ovarian tissue undergoes adequate testing before re-implantation
10. Millions of Euros could be saved if breast cancer follow-ups were led by specialist nurses
11. Readily available treatment could help prevent heart disease in kidney patients
Post Your Comments:
(Date:6/26/2016)... ... 26, 2016 , ... On June 10-11, 2016, A Forever Recovery, a holistic ... World’s Longest Breakfast Table in Battle Creek, MI, where the rehabilitation facility is located. ... some of the world’s leading providers of cereal and other breakfast foods. Its residents ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... ... health policy issues and applications at AcademyHealth’s Annual Research Meeting June 26-28, 2016, ... work on several important health care topics including advance care planning, healthcare costs ...
(Date:6/25/2016)... ... June 25, 2016 , ... As a lifelong Southern ... Laude and his M.D from the David Geffen School of Medicine at UCLA. He ... Los Angeles to complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program ...
(Date:6/24/2016)... Michigan (PRWEB) , ... June 24, 2016 , ... Those ... deal with these feelings, many turn to unhealthy avenues, such as drug or alcohol ... of Marne, Michigan, has released tools for healthy coping following a traumatic event. , ...
(Date:6/24/2016)... ... June 24, 2016 , ... ... for accelerated orthodontic treatment. Dr. Cheng has extensive experience with all areas of ... AcceleDent, and accelerated osteogenic orthodontics. , Micro-osteoperforation is a revolutionary adjunct to ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... , June 23, 2016 Research ... MEMS Devices Medical Market Analysis 2016 - Forecast to 2022" ... The report contains up to date financial data ... analysis. Assessment of major trends with potential impact on the ... analysis of market segmentation which comprises of sub markets, regional ...
(Date:6/23/2016)... 23, 2016 Bracket , a leading clinical ... generation clinical outcomes platform, Bracket eCOA (SM) 6.0, at ... 26 – 30, 2016 in Philadelphia , ... Outcome Assessment product of its kind to fully integrate with ... Bracket eCOA 6.0 is a flexible platform for electronic clinical ...
(Date:6/23/2016)... BOGOTA, Colombia , June 23, 2016  Astellas today announced the establishment of Astellas Farma Colombia ... the company,s second affiliate in Latin America . ... ... Farma Colombia ... ...
Breaking Medicine Technology: