Navigation Links
Telemedicine could eradicate many expensive ED visits
Date:5/5/2008

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
rebecca_jones@urmc.rochester.edu
585-275-8490
University of Rochester Medical Center
Source:Eurekalert

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:
*Name:
*Comment:
*Email:
(Date:1/22/2017)... ... 2017 , ... Zifam Pinnacle, an Australian company dedicated to providing a unique ... buyers at the January ECRM Trade Show in Hilton Head, SC. , Zifam Pinnacle ... in all of its creations to help create a more traditional and natural approach ...
(Date:1/21/2017)... ... , ... Caronlab Australia, an Australian company known for health and beauty products ... SC, where it benefited from outstanding meetings with major retail buyers. , Caron Labs ... At this trade show, the company had the chance to demonstrate its products and ...
(Date:1/21/2017)... ... ... the largest manufacturer of oats in China, is now aiming at global business expansion, ... globally as one of the healthiest cereals, XieQingkui, the founder of Seamild, strongly recommends ... sow the seed of good karma. Buddhism spirit featuring benevolence and sacrifice are the ...
(Date:1/21/2017)... ... January 21, 2017 , ... Northern California Medical Associates ... joined their multi-specialty medical group. The dermatology practice provides general dermatologic treatment, outpatient ... to add this excellent dermatology practice to our group’s medical services,” explains NCMA ...
(Date:1/21/2017)... , ... January 21, 2017 , ... ... Austin, Texas Periodontist Dr. Dan Holtzclaw in media for its creos™ line of ... surgeries performed by Dr. Holtzclaw in which he utilizes creos™ allo.gain™ bone graft ...
Breaking Medicine News(10 mins):
(Date:1/23/2017)... 2017 The global  anxiety disorders and depression treatment market ... rising incidence of depression worldwide is anticipated to drive the market growth in ... declining demand for antidepressants in the recent years. ... ... Logo ...
(Date:1/23/2017)... SAN DIEGO and PALMA, ... Laboratoris Sanifit S.L., a clinical-stage biopharmaceutical ... announced that the first patient has been enrolled ... of lead candidate, SNF472, for the treatment of ... haemodialysis (HD). Most ESRD patients, in ...
(Date:1/23/2017)... , Jan. 23, 2017 Just two weeks remain until ... intellectual property, gather in Central London to discuss ... its kind in the market, Parallel Trade 2017 . ... preliminary list of attendees which is available to read in the event ... ...
Breaking Medicine Technology: