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首页> 外文期刊>Clinical governance >Telemedicine in care homes in Airedale, Wharf edale and Craven
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Telemedicine in care homes in Airedale, Wharf edale and Craven

机译：在Airedale，Wharfedale和Craven的疗养院进行远程医疗

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Purpose - The purpose of this paper is to observe and analyse the effects of the use of telemedicine in care homes on the use of acute hospital resources. Design/methodology/approach - The study was an uncontrolled retrospective observational review of data on emergency hospital admissions and Emergency Department (ED) visits for care home residents in Airedale, Wharfedale and Craven. Acute hospital activity for residents was observed before and after the installation of telemedicine in 27 care homes. Data from a further 21 care homes that did not use telemedicine were used as a control group, using the median date of telemedicine installation for the "before and after" period. Patient outcomes were not considered. Findings - Care homes with telemedicine showed a 39 per cent reduction in the costs of emergency admissions and a 45 per cent reduction in ED attendances after telemedicine installation. In the control group reductions were 31 and 31 per cent, respectively. The incremental difference in costs between the two groups of care homes was almost £1.2 million. The cost of telemedicine to care commissioners was £177,000, giving a return on investment over a 20-month period of £6.74 per £1 spent. Research limitations/implications - The results should be interpreted carefully. There is inherent bias as telemedicine was deployed in care homes with the highest use of acute hospital resources and there were some methodological limitations due to poor data. Nevertheless, controlling the data as much as possible and adopting a cautious approach to interpretation, it can be concluded that the use of telemedicine in these care homes was cost-effective. Originality/value - There are very few telemedicine studies focused on care homes.
机译：目的-本文的目的是观察和分析在护理院中使用远程医疗对急性医院资源使用的影响。设计/方法/方法-这项研究是对Airedale，Wharfedale和Craven的急救院居民的急诊医院入院和急诊科（ED）访问数据的非对照回顾性观察性回顾。在27个疗养院中安装远程医疗前后，观察到居民的急性医院活动。来自另外21个未使用远程医疗的护理院的数据被用作对照组，使用“前后”的远程医疗安装时间的中位数。没有考虑患者的预后。调查结果-装有远程医疗的护理之家在安装远程医疗后，紧急住院的费用减少了39％，急诊就诊人数减少了45％。对照组的减少量分别为31％和31％。两组疗养院之间的成本增量差额接近120万英镑。护理专员的远程医疗成本为17.7万英镑，在20个月的期间内，每花费1英镑可得到6.74英镑的投资回报。研究局限/含意-研究结果应仔细解释。由于远程医疗被部署在使用急诊医院资源最多的护理院中，因此存在固有的偏见，并且由于数据不佳而存在一些方法学上的限制。尽管如此，通过尽可能地控制数据并采取谨慎的解释方法，可以得出结论，在这些护理院中使用远程医疗具有成本效益。原创性/价值-很少有针对疗养院的远程医疗研究。

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