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Int J Med Inform ; 77(7): 470-6, 2008 Jul.
Article in English | MEDLINE | ID: mdl-17923433

ABSTRACT

PURPOSE: Cost-minimization is a main topic in present-day health care. Clinicians are urged to keep hospital stays as short as possible, also in Obstetrics and Gynaecology Departments. At present stabilized high-risk pregnant women stay in hospital for the sole purpose of being monitored. METHOD: In this retrospective study the cost-effectiveness of telemonitoring of such high-risk pregnant women was calculated by analyzing the data of 456 episodes originating from 415 patients of the Ghent University Hospital. RESULTS AND CONCLUSIONS: It was determined that telemonitoring made a cost-reduction of euro 145,822 per year possible. However, variables such as educational level, psychosocial situation, time-travel distance from home to the hospital, reimbursement system and actual clinical status were not included. Furthermore, the Belgian health authorities does not provide for a specific code to allow the billing of teleinterpretation of transmitted results.


Subject(s)
Monitoring, Physiologic/economics , Pregnancy Complications/diagnosis , Pregnancy Complications/economics , Pregnancy/statistics & numerical data , Telemedicine/economics , Belgium/epidemiology , Cost-Benefit Analysis , Female , Humans , Monitoring, Physiologic/statistics & numerical data , Pregnancy Complications/epidemiology , Risk Factors , Telemedicine/statistics & numerical data
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