Evidence map›Paper›PMID 32197434›Full record

ArticleInternational journal of environmental research and public health2020

A Cost-Minimization Analysis of a Medical Record-based, Store and Forward and Provider-to-provider Telemedicine Compared to Usual Care in Catalonia: More Agile and Efficient, Especially for Users.

Francesc López Seguí, Jordi Franch Parella, Xavier Gironès García, Jacobo Mendioroz Peña, Francesc García Cuyàs, Cristina Adroher Mas, Anna García-Altés, Josep Vidal-Alaball

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04562168 (Using Artificial Intelligence as a Diagnostic Decision Support Tool to Help the Diagnosis of Skin Disease in Primary Healthcare in Catalonia), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04562168 nacompletednot on this mapstarted 2021, after this paper: background citation

Using Artificial Intelligence as a Diagnostic Decision Support Tool to Help the Diagnosis of Skin Disease in Primary Healthcare in Catalonia

TypeinterventionalSponsorFundacio d'Investigacio en Atencio Primaria Jordi Gol i GurinaRan2021 to 2021Enrolled100ConditionsSkin DiseasesArmsAutoderm® dermatology search engine (ML model) testing
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 37 citations in OpenAlex.

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  8. Impact of COVID-19 Pandemic and Pattern of Patient Care in Otorhinolaryngology Practice in a Tertiary Referral Centre.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Francesc López SeguíTIC Salut Social, Catalan Ministry of Health, 08005 Barcelona, Spain.ORCID 0000-0003-0977-0215
Jordi Franch ParellaFaculty of Social Sciences, Universitat de Vic-Universitat Central de Catalunya, 08242 Manresa, Spain.ORCID 0000-0002-9738-8384
Xavier Gironès GarcíaFaculty of Social Sciences, Universitat de Vic-Universitat Central de Catalunya, 08242 Manresa, Spain.
Jacobo Mendioroz PeñaHealth Promotion in Rural Areas Research Group, Gerència Territorial de la Catalunya Central, Institut Català de la Salut, 08272 Sant Fruitós de Bages, Spain.
Francesc García CuyàsSant Joan de Déu Hospital, Catalan Ministry of Health, 08950 Barcelona, Spain.
Cristina Adroher MasSant Joan de Déu Hospital, Catalan Ministry of Health, 08950 Barcelona, Spain.
Anna García-AltésAgency for Healthcare Quality and Evaluation of Catalonia (AQuAS), Catalan Ministry of Health, 08003 Barcelona, Spain.
Josep Vidal-AlaballHealth Promotion in Rural Areas Research Group, Gerència Territorial de la Catalunya Central, Institut Català de la Salut, 08272 Sant Fruitós de Bages, Spain.ORCID 0000-0002-3527-4242
Ministry of Health · ESInstitut Universitari d'Investigació en Atenció Primària Jordi Gol · ESUniversitat de Vic - Universitat Central de Catalunya · ESUniversitat Pompeu Fabra · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelemedicine (interconsultation between primary and hospital care teams) has been operating in the counties of Central Catalonia Bages, Moianès and Berguedà since 2011, specializing in teledermatology, teleulcers, teleophthalmology and teleaudiometries. For the period until the end of 2019, a total of 52,198 visits were recorded.

objectiveTo analyze the differential costs between telemedicine and usual care in a semi-urban environment. METHODOLOGY: A cost-minimization evaluation, including direct and indirect costs from a societal perspective, distinguishing healthcare and user's costs, was carried out over a three-month period.

resultsTelemedicine saved € 780,397 over the period analyzed. A differential cost favorable to telemedicine of about € 15 per visit was observed, with the patient being the largest beneficiary of this saving (by 85%) in terms of shorter waiting times and travel costs. From the healthcare system perspective, moving the time spent in a hospital care consultation to primary care is efficient in terms of the total time devoted per patient. In social terms and in this context, telemedicine is more efficient than usual care.

conclusionAllowing users to save time in terms of consultation and travel is the main driver of interconsultation between primary and hospital care savings in a semi-urban context. The telemedicine service is also economically favorable for the healthcare system, enabling it to provide a more agile service, which also benefits healthcare professionals.

Indexed as

Medical RecordsOphthalmologyTelemedicineCost-Benefit AnalysisCosts and Cost AnalysisHumansSpaincost analysiseconomic analysishealth technology assessmentprovider-to-provider telemedicinetelehealth

Identifiers

PMID32197434
PMCPMC7143363
OpenAlexW3011543745

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.