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首页> 外文期刊>Telemedicine and e-health: the official journal of the American Telemedicine Association >A Prenatal Remote Monitoring Program in Pregnancies Complicated with Gestational Hypertensive Disorders: What Are the Contributors to the Cost Savings?
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A Prenatal Remote Monitoring Program in Pregnancies Complicated with Gestational Hypertensive Disorders: What Are the Contributors to the Cost Savings?

机译：妊娠期妊娠高血压障碍复杂的产前远程监测计划：节省成本的贡献者是什么？

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Background:In 2015, we performed a cost analysis of a prenatal remote monitoring (RM) program compared with conventional care (CC) for women diagnosed with gestational hypertensive disorders (GHD).Introduction:We investigated where the cost savings were distributed by dividing our patient population into three subgroups, according to the gestational age (GA) at the time of delivery: (1) 37 weeks of GA.Materials and Methods:Health care costs were calculated from patient-specific hospital bills at Ziekenhuis Oost Limburg (Genk, Belgium) in 2015-2016. Cost comparisons were made from the perspectives of the Belgium national health care system (HCS), the National Institution for Insurance of Disease and Disability (RIZIV), and the costs to individual patients.Results:A total of 256 pregnant women were included, 80 (31.25%) of whom received RM and 176 (68.75%) of whom received CC. The greatest difference in costs between RM and CC was in the group that delivered before 34 weeks of GA, followed by the group who delivered after 37 weeks of GA, and then the group of women who delivered at 34-37 weeks of GA. Most of the cost savings were in neonatal care, for both the three separate study subgroups and the total study group.Discussion and Conclusion:Our data showed that RM is more cost-effective than CC for pregnant women with GHD. Further investigation of the effects of RM on the long-term economic and social costs is recommended, together with an analysis of the price that should be asked for RM services.
机译：背景：2015年，与患有妊娠期高血压障碍（GHD）诊断的妇女的妇女相比，我们对产前远程监测（RM）计划进行了成本分析.Introduction：我们调查了通过除以我们的成本节省患者人口分为三个亚组，根据胎龄（GA）在发货时：（1）GA.Materials和方法37周：Ziekenhuis Oost Limburg（Genk）的患者特定医院费用计算了医疗费用（Genk，比利时）在2015 - 2016年。从比利时国家医疗保健系统（HCS），国家保险和残疾机构（Riziv）的角度来进行成本比较，以及个别患者的费用。结果：共有256名孕妇，80岁（31.25％），其中收到额外的股份（68.75％）收到CC。 RM和CC之间的成本最大的差异是在GA的34周之前交付的集团，然后在GA的37周后交付的集团，然后在GA的34-37周内交付的妇女组。对于三个单独的研究亚组和总研究组，大多数成本节省都是新生儿护理。探讨和结论建议进一步调查RM对长期经济和社会成本的影响，同时分析了应要求RM服务的价格进行分析。

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