Specialist consultation activity and costs in Australia: Before and after the introduction of COVID-19 telehealth funding.
J Telemed Telecare
; 27(10): 609-614, 2021 Dec.
Article
in English
| MEDLINE | ID: covidwho-1546645
ABSTRACT
This study describes and analyses the Medicare Benefits Schedule (MBS) activity and cost data for specialist consultations in Australia, as a result of the coronavirus disease 2019 (COVID-19) pandemic. To achieve this, activity and cost data for MBS specialist consultations conducted from March 2019 to February 2021 were analysed month-to-month. MBS data for in-person, videoconference and telephone consultations were compared before and after the introduction of COVID-19 MBS telehealth funding in March 2020. The total number of MBS specialist consultations claimed per month did not differ significantly before and after the onset of COVID-19 (p = 0.717), demonstrating telehealth substitution of in-person care. After the introduction of COVID-19 telehealth funding, the average number of monthly telehealth consultations increased (p < 0.0001), representing an average of 19% of monthly consultations. A higher proportion of consultations were provided by telephone when compared to services delivered by video. Patient-end services did not increase after the onset of COVID-19, signifying a divergence from the historical service delivery model. Overall, MBS costs for specialist consultations did not vary significantly after introducing COVID-19 telehealth funding (p = 0.589). Telehealth consultations dramatically increased during COVID-19 and patients continued to receive specialist care. After the onset of COVID-19, the cost per telehealth specialist consultation was reduced, resulting in increased cost efficiency to the MBS.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Referral and Consultation
/
Telemedicine
/
COVID-19
Type of study:
Experimental Studies
Limits:
Humans
Country/Region as subject:
Oceania
Language:
English
Journal:
J Telemed Telecare
Journal subject:
Medical Informatics
/
Health Services
Year:
2021
Document Type:
Article
Affiliation country:
1357633X211042433
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