JIAO Yang, QIN Ming-wei, HU Bing-shui, PAN Hui, SUN Guo-qiang, CHEN Si, ZHU Wei-guo. Cost Analysis of Launching Telemedicine Services by Peking Union MedicalCollege Hospital During the Pandemic of Coronavirus Disease 2019[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(1): 49-53. DOI: 10.12290/xhyxzz.20200168
Citation: JIAO Yang, QIN Ming-wei, HU Bing-shui, PAN Hui, SUN Guo-qiang, CHEN Si, ZHU Wei-guo. Cost Analysis of Launching Telemedicine Services by Peking Union MedicalCollege Hospital During the Pandemic of Coronavirus Disease 2019[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(1): 49-53. DOI: 10.12290/xhyxzz.20200168

Cost Analysis of Launching Telemedicine Services by Peking Union MedicalCollege Hospital During the Pandemic of Coronavirus Disease 2019

Funds: 

The China Medical Board Open Competition CMB16-258

More Information
  • Corresponding author:

    ZHU Wei-guo Tel: 86-10-69154149, E-mail: zhuwg@pumch.cn

  • Received Date: June 22, 2020
  • Accepted Date: October 22, 2020
  • Issue Publish Date: January 29, 2021
  •   Objective  To assess the cost of launching telemedicine services by Peking Union Medical College Hospital (PUMCH) during coronavirus disease 2019 pandemic.
      Methods  The patients using telemedicine services were enrolled during the period of pilot run from February 10th to April 15th, 2020. The study was done from the social perspective. A decision-tree model was constructed to compare the costs between telemedicine services and conventional clinical services for outpatients. The main outcome was measured as incre- mental cost-effective ness ratios (ICER). Sensitivity analysis was conducted by using one-way sensitivity analysis.
      Results  During a period of forty-seven days, the online fever clinic was applied 3055 person-times(2070 patients) and the online outpatient clinic were applied 36 549 person-times(20 467 patients). On average, 44 febrile cases/d and 435 nonfebrile cases/d were reduced in the outpatient clinic. It helped to reduce roughly 1/4 (febrile) and 1/5(nonfebrile) of total numbers of the patients in the outpatient clinic during the peak period of the epidemic. If calculated according to the actual free-of-charge condition, the ICER was -64.7 yuans/person-time. If the actual cost of each consultant of telemedicine service was estimated according to the level of outpatient-service fee, the ICER was -5.5 yuans/person-time. The results of sensitivity analysis showed that the main factors affecting the ICERs were transportation cost, lost wages, and the efficiency of telemedicine services.
      Conclusions  Launching telemedicine services helped to relieve the pressure at the outpatient clinics, and has the potential to provide significant cost saving compared to conventional clinic services for outpatients. It is worth considering applying this practice widely in the medical and health services.
  • [1]
    She J, Jiang J, Ye L, et al. 2019 novel coronavirus of pneumonia in Wuhan, China: emerging attack and management strategies[J]. Clin Transl Med, 2020, 9:19.
    [2]
    Li TS. Diagnosis and clinical management of severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) infection: an operational recommendation of Peking Union Medical College Hospital (V2.0)[J]. Emerg Microbes Infect, 2020, 9:582-585. DOI: 10.1080/22221751.2020.1735265
    [3]
    Dorsey ER, Topol EJ. Telemedicine 2020 and the next decade[J]. Lancet, 2020, 395:859. DOI: 10.1016/S0140-6736(20)30424-4
    [4]
    Hollander JE, Carr BG. Virtually Perfect? Telemedicine for COVID-19[J]. N Engl J Med, 2020, 382:1679-1681. DOI: 10.1056/NEJMp2003539
    [5]
    Waller M, Stotler C. Telemedicine: a Primer. Curr Allergy Asthma Rep[J]. Curr Allergy Asthma Rep, 2018, 18:54. DOI: 10.1007/s11882-018-0808-4
    [6]
    Lee JJ, English JC 3rd. Teledermatology: A Review and Update[J]. Am J Clin Dermatol, 2018, 19:253-260. DOI: 10.1007/s40257-017-0317-6
    [7]
    Peterson MC, Holbrook JH, Von Hales D, et al. Contributions of the history, physical examination, and laboratory investigation in making medical diagnoses[J]. West J Med, 1992, 156:163-165.
    [8]
    Paley L, Zornitzki T, Cohen J, et al. Utility of clinical examination in the diagnosis of emergency department patients admitted to the department of medicine of an academic hospital[J]. Arch Intern Med, 2011, 171:1394-1396.
    [9]
    Mistry H.Systematic review of studies of the cost-effec-tiveness of telemedicine and telecare. Changes in the economic evidence over twenty years[J]. J Telemed Telecare, 2012, 18:1-6. DOI: 10.1258/jtt.2011.110505
    [10]
    de la Torre-Diez I, Lopez-Coronado M, Vaca C, et al. Cost-utility and cost-effectiveness studies of telemedicine, electronic, and mobile health systems in the literature: a systematic review[J]. Telemed J E Health, 2015, 21:81-85. DOI: 10.1089/tmj.2014.0053
    [11]
    Scheinfeld N. Focus on: information technology. Telemedic-ine legal update 2004: reimbursement, the doctor-patient relationship, teleconsultations, and the legal status of digital images[J]. J Drugs Dermatol, 2005, 4:102-105. http://europepmc.org/abstract/MED/15696995
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