AUTHOR=Kadel Rajendra , Evans-Lacko Sara , Tramarin Andrea , Stopazzolo Giampaolo 

TITLE=Cost-Effectiveness of Tele-Video-Consultation for the Neuro-Surgical Emergency Management at the General Hospitals in Italy

JOURNAL=Frontiers in Neuroscience

VOLUME=12

YEAR=2018

URL=https://www.frontiersin.org/journals/neuroscience/articles/10.3389/fnins.2018.00908

DOI=10.3389/fnins.2018.00908

ISSN=1662-453X

ABSTRACT=<p><bold>Background:</bold> Neuro-surgical emergencies are serious (long-term disability and high mortality) and costly to the national health services. Tele-medicine intervention can facilitate to reduce this gap. Our study aims to evaluate the cost-effectiveness of tele-video-consultation intervention for the management of neuro-surgical emergencies in the general hospitals.</p><p><bold>Methods:</bold> We retrieved health service data from the tele-consultation service, online tele-medicine database portal and hospital patient registry, between January 2009 and December 2012 and evaluated cost-effectiveness of the tele-video-consultation intervention from an Italian National Health Service perspective.</p><p><bold>Results:</bold> Seventy-five percent of the tele-consultations were completed within 15 min and 90% within 30 min. The average costs were €2,326 in the intervention group and €4,173 in the care as usual group. The intervention avoided 73% potential transfer (saving of 139,916 km travel distance during a 4-years period). The incremental cost-saving per transfer avoided from the tele-medicine intervention was €365.</p><p><bold>Conclusions:</bold> Tele-medicine intervention could be worth investing from the Italian National Health Service perspective.</p>