[Health economical aspects of telemedical glaucoma monitoring].
Identifieur interne : 000328 ( PubMed/Curation ); précédent : 000327; suivant : 000329[Health economical aspects of telemedical glaucoma monitoring].
Auteurs : T. Swierk [Allemagne] ; C. Jürgens ; R. Grossjohann ; S. Flessa ; F. TostSource :
- Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft [ 1433-0423 ] ; 2011.
Descripteurs français
- KwdFr :
- Allemagne, Conception de logiciel, Coûts et analyse des coûts, Glaucome (), Glaucome (diagnostic), Glaucome (économie), Manométrie (économie), Programmes nationaux de santé (économie), Ressources en santé (utilisation), Ressources en santé (économie), Surveillance ambulatoire (économie), Télémesure (économie), Équipe soignante (économie).
- MESH :
- diagnostic : Glaucome.
- utilisation : Ressources en santé.
- économie : Glaucome, Manométrie, Programmes nationaux de santé, Ressources en santé, Surveillance ambulatoire, Télémesure, Équipe soignante.
- Allemagne, Conception de logiciel, Coûts et analyse des coûts, Glaucome.
- Wicri :
- geographic : Allemagne.
English descriptors
- KwdEn :
- Costs and Cost Analysis, Germany, Glaucoma (diagnosis), Glaucoma (economics), Glaucoma (therapy), Health Resources (economics), Health Resources (utilization), Manometry (economics), Monitoring, Ambulatory (economics), National Health Programs (economics), Patient Care Team (economics), Software Design, Telemetry (economics).
- MESH :
- geographic : Germany.
- diagnosis : Glaucoma.
- economics : Glaucoma, Health Resources, Manometry, Monitoring, Ambulatory, National Health Programs, Patient Care Team, Telemetry.
- therapy : Glaucoma.
- utilization : Health Resources.
- Costs and Cost Analysis, Software Design.
Abstract
Telemedical home monitoring of glaucoma patients is not covered by health insurance in Germany. Various clinical studies have indicated that 24 h monitoring of intraocular and blood pressure of glaucoma patients allows a better evaluation of the individual disease condition. If the necessary parameters can be collected with telemedical home monitoring it will be possible to reduce the number of 24 h intraocular pressure profiles which necessitate hospital admission. Therefore inpatient 24 h profiles have been chosen as a health economical allocation base with a presentable economical value for the comparative examination. Assuming an at least identical or even higher clinical outcome of the telemedical glaucoma home monitoring inpatient 24 h profiles were chosen as a health economical allocation base to compare and contrast these methods.
DOI: 10.1007/s00347-010-2253-1
PubMed: 21505968
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Grossjohann</name></author><author><name sortKey="Flessa, S" sort="Flessa, S" uniqKey="Flessa S" first="S" last="Flessa">S. Flessa</name></author><author><name sortKey="Tost, F" sort="Tost, F" uniqKey="Tost F" first="F" last="Tost">F. Tost</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="doi">10.1007/s00347-010-2253-1</idno><idno type="RBID">pubmed:21505968</idno><idno type="pmid">21505968</idno><idno type="wicri:Area/PubMed/Corpus">000328</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000328</idno><idno type="wicri:Area/PubMed/Curation">000328</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000328</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Health economical aspects of telemedical glaucoma monitoring].</title><author><name sortKey="Swierk, T" sort="Swierk, T" uniqKey="Swierk T" first="T" last="Swierk">T. Swierk</name><affiliation wicri:level="1"><nlm:affiliation>Lehrstuhl für Allgemeine Betriebswirtschaftslehre und Gesundheitsmanagement, Ernst-Moritz-Arndt-Universität, Greifswald, Deutschland.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Lehrstuhl für Allgemeine Betriebswirtschaftslehre und Gesundheitsmanagement, Ernst-Moritz-Arndt-Universität, Greifswald</wicri:regionArea></affiliation></author><author><name sortKey="Jurgens, C" sort="Jurgens, C" uniqKey="Jurgens C" first="C" last="Jürgens">C. Jürgens</name></author><author><name sortKey="Grossjohann, R" sort="Grossjohann, R" uniqKey="Grossjohann R" first="R" last="Grossjohann">R. Grossjohann</name></author><author><name sortKey="Flessa, S" sort="Flessa, S" uniqKey="Flessa S" first="S" last="Flessa">S. Flessa</name></author><author><name sortKey="Tost, F" sort="Tost, F" uniqKey="Tost F" first="F" last="Tost">F. Tost</name></author></analytic><series><title level="j">Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft</title><idno type="eISSN">1433-0423</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Costs and Cost Analysis</term><term>Germany</term><term>Glaucoma (diagnosis)</term><term>Glaucoma (economics)</term><term>Glaucoma (therapy)</term><term>Health Resources (economics)</term><term>Health Resources (utilization)</term><term>Manometry (economics)</term><term>Monitoring, Ambulatory (economics)</term><term>National Health Programs (economics)</term><term>Patient Care Team (economics)</term><term>Software Design</term><term>Telemetry (economics)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Allemagne</term><term>Conception de logiciel</term><term>Coûts et analyse des coûts</term><term>Glaucome ()</term><term>Glaucome (diagnostic)</term><term>Glaucome (économie)</term><term>Manométrie (économie)</term><term>Programmes nationaux de santé (économie)</term><term>Ressources en santé (utilisation)</term><term>Ressources en santé (économie)</term><term>Surveillance ambulatoire (économie)</term><term>Télémesure (économie)</term><term>Équipe soignante (économie)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Germany</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Glaucoma</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Glaucome</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Glaucoma</term><term>Health Resources</term><term>Manometry</term><term>Monitoring, Ambulatory</term><term>National Health Programs</term><term>Patient Care Team</term><term>Telemetry</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Glaucoma</term></keywords><keywords scheme="MESH" qualifier="utilisation" xml:lang="fr"><term>Ressources en santé</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Health Resources</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Glaucome</term><term>Manométrie</term><term>Programmes nationaux de santé</term><term>Ressources en santé</term><term>Surveillance ambulatoire</term><term>Télémesure</term><term>Équipe soignante</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Costs and Cost Analysis</term><term>Software Design</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Allemagne</term><term>Conception de logiciel</term><term>Coûts et analyse des coûts</term><term>Glaucome</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Allemagne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Telemedical home monitoring of glaucoma patients is not covered by health insurance in Germany. Various clinical studies have indicated that 24 h monitoring of intraocular and blood pressure of glaucoma patients allows a better evaluation of the individual disease condition. If the necessary parameters can be collected with telemedical home monitoring it will be possible to reduce the number of 24 h intraocular pressure profiles which necessitate hospital admission. Therefore inpatient 24 h profiles have been chosen as a health economical allocation base with a presentable economical value for the comparative examination. Assuming an at least identical or even higher clinical outcome of the telemedical glaucoma home monitoring inpatient 24 h profiles were chosen as a health economical allocation base to compare and contrast these methods.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">21505968</PMID><DateCreated><Year>2011</Year><Month>04</Month><Day>20</Day></DateCreated><DateCompleted><Year>2011</Year><Month>09</Month><Day>26</Day></DateCompleted><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1433-0423</ISSN><JournalIssue CitedMedium="Internet"><Volume>108</Volume><Issue>4</Issue><PubDate><Year>2011</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft</Title><ISOAbbreviation>Ophthalmologe</ISOAbbreviation></Journal><ArticleTitle>[Health economical aspects of telemedical glaucoma monitoring].</ArticleTitle><Pagination><MedlinePgn>342-50</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00347-010-2253-1</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Telemedical home monitoring of glaucoma patients is not covered by health insurance in Germany. Various clinical studies have indicated that 24 h monitoring of intraocular and blood pressure of glaucoma patients allows a better evaluation of the individual disease condition. If the necessary parameters can be collected with telemedical home monitoring it will be possible to reduce the number of 24 h intraocular pressure profiles which necessitate hospital admission. Therefore inpatient 24 h profiles have been chosen as a health economical allocation base with a presentable economical value for the comparative examination. Assuming an at least identical or even higher clinical outcome of the telemedical glaucoma home monitoring inpatient 24 h profiles were chosen as a health economical allocation base to compare and contrast these methods.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">All procedures of the inpatient 24 h profiles at the ophthalmic clinic of Greifswald were measured using the stopwatch method. In a 1 day test run all activities of the medical staff were identified and documented in a list and afterwards measurements were carried out over 7 days with several stopwatches to allow the documentation of parallel activities. To determine the consumption of resources in telemedical home monitoring the self-documentation of all employees involved in the research project TT-MV were evaluated. Expert interviews helped to determine the economically relevant data about the applied medical technology, e.g. measuring devices, server and electronic health records.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The number and complexity of the subprocesses of the inpatient 24 h intraocular pressure profiles were significantly higher compared to telemedical home monitoring. The total costs of the inpatient 24 h profiles were 571.21 € per patient including 291.21 € for medical care and 280 € for accommodation. In contrast the total costs of telemedical home monitoring were 288.72 € per patient. A direct cost comparison shows that telemedical home monitoring resulted in lower costs compared to hospital admission of glaucoma patients.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Telemedical home monitoring of glaucoma patients is not only effective but also cost-efficient. As modern health care systems have to consider cost efficiency, a randomized, controlled longitudinal clinical study of both methods would be required.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Swierk</LastName><ForeName>T</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Lehrstuhl für Allgemeine Betriebswirtschaftslehre und Gesundheitsmanagement, Ernst-Moritz-Arndt-Universität, Greifswald, Deutschland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jürgens</LastName><ForeName>C</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Grossjohann</LastName><ForeName>R</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Flessa</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Tost</LastName><ForeName>F</ForeName><Initials>F</Initials></Author></AuthorList><Language>ger</Language><PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Gesundheitsökonomische Aspekte des telematischen Glaukom-Monitorings.</VernacularTitle></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Ophthalmologe</MedlineTA><NlmUniqueID>9206148</NlmUniqueID><ISSNLinking>0941-293X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D003365">Costs and Cost Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" Type="Geographic" UI="D005858">Germany</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005901">Glaucoma</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000175">diagnosis</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000191">economics</QualifierName><QualifierName MajorTopicYN="N" UI="Q000628">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006295">Health Resources</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000191">economics</QualifierName><QualifierName MajorTopicYN="N" UI="Q000656">utilization</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008365">Manometry</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000191">economics</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D018670">Monitoring, Ambulatory</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000191">economics</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D009313">National Health Programs</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000191">economics</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010348">Patient Care Team</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000191">economics</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012985">Software Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013686">Telemetry</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000191">economics</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>4</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>4</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>9</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="doi">10.1007/s00347-010-2253-1</ArticleId><ArticleId IdType="pubmed">21505968</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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