Telemedicine in managing demand for secondary-care services - PubMed (original) (raw)
Telemedicine in managing demand for secondary-care services
K S Harno. J Telemed Telecare. 1999.
Abstract
The sustained growth in demand for hospital services has inspired new ways of managing the demands for secondary care. In Finland, teleconsultations have been used alongside an electronic referral system for hospital outpatient clinics for the management of primary-care patients by specialists. Direct outpatient costs of the internal medicine department of a district general hospital with an electronic referral system and using teleconsultations were compared with those of a similar department at another hospital using a paper referral system. The former were at least 20% lower. Almost every paper referral in the conventional system (over 95%) led to an outpatient visit, whereas only one-third of the teleconsultations resulted in actual outpatient visits. Thus virtual integration of secondary and primary care with an electronic referral system as part of an electronic medical record reduced both the costs of hospital outpatient care and the demand for it.
Similar articles
- Patient referral by telemedicine: effectiveness and cost analysis of an Intranet system.
Harno K, Paavola T, Carlson C, Viikinkoski P. Harno K, et al. J Telemed Telecare. 2000;6(6):320-9. doi: 10.1258/1357633001935996. J Telemed Telecare. 2000. PMID: 11265100 - Clinical effectiveness and cost analysis of patient referral by videoconferencing in orthopaedics.
Harno K, Arajärvi E, Paavola T, Carlson C, Viikinkoski P. Harno K, et al. J Telemed Telecare. 2001;7(4):219-25. doi: 10.1258/1357633011936435. J Telemed Telecare. 2001. PMID: 11506757 - New estimates of elasticity of demand for healthcare in rural China.
Zhou Z, Su Y, Gao J, Xu L, Zhang Y. Zhou Z, et al. Health Policy. 2011 Dec;103(2-3):255-65. doi: 10.1016/j.healthpol.2011.09.005. Epub 2011 Oct 19. Health Policy. 2011. PMID: 22014842 - Methylphenidate poisoning: an evidence-based consensus guideline for out-of-hospital management.
Scharman EJ, Erdman AR, Cobaugh DJ, Olson KR, Woolf AD, Caravati EM, Chyka PA, Booze LL, Manoguerra AS, Nelson LS, Christianson G, Troutman WG; American Association of Poison Control Centers. Scharman EJ, et al. Clin Toxicol (Phila). 2007 Oct-Nov;45(7):737-52. doi: 10.1080/15563650701665175. Clin Toxicol (Phila). 2007. PMID: 18058301 - Should alternatives to conventional hospitalisation be promoted in an era of financial constraint?
Pericás JM, Aibar J, Soler N, López-Soto A, Sanclemente-Ansó C, Bosch X. Pericás JM, et al. Eur J Clin Invest. 2013 Jun;43(6):602-15. doi: 10.1111/eci.12087. Epub 2013 Apr 17. Eur J Clin Invest. 2013. PMID: 23590593 Review.
Cited by
- Assessing telemedicine: a systematic review of the literature.
Roine R, Ohinmaa A, Hailey D. Roine R, et al. CMAJ. 2001 Sep 18;165(6):765-71. CMAJ. 2001. PMID: 11584564 Free PMC article. Review. - Reconfiguring health systems. Potential of new ways of using technology needs to be considered.
Jardine I. Jardine I. BMJ. 2003 Mar 15;326(7389):599. doi: 10.1136/bmj.326.7389.599. BMJ. 2003. PMID: 12637412 Free PMC article. No abstract available. - Environmental aspects of health care in the Grampian NHS region and the place of telehealth.
Wootton R, Tait A, Croft A. Wootton R, et al. J Telemed Telecare. 2010;16(4):215-20. doi: 10.1258/jtt.2010.004015. J Telemed Telecare. 2010. PMID: 20511579 Free PMC article. - Barriers and facilitators for implementation of electronic consultations (eConsult) to enhance access to specialist care: a scoping review.
Osman MA, Schick-Makaroff K, Thompson S, Bialy L, Featherstone R, Kurzawa J, Zaidi D, Okpechi I, Habib S, Shojai S, Jindal K, Braam B, Keely E, Liddy C, Manns B, Tonelli M, Hemmelgarn B, Klarenbach S, Bello AK. Osman MA, et al. BMJ Glob Health. 2019 Sep 13;4(5):e001629. doi: 10.1136/bmjgh-2019-001629. eCollection 2019. BMJ Glob Health. 2019. PMID: 31565409 Free PMC article. - Email triage for new neurological outpatient referrals: what the customers think.
Patterson V, Donaghy C, Loizou L. Patterson V, et al. J Neurol Neurosurg Psychiatry. 2006 Nov;77(11):1295-6. doi: 10.1136/jnnp.2006.092098. J Neurol Neurosurg Psychiatry. 2006. PMID: 17043303 Free PMC article. No abstract available.
MeSH terms
LinkOut - more resources
Full Text Sources