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A retrospective review of telehealth services for children referred to a paediatric nephrologist.

Trnka P, White MM, Renton WD, McTaggart SJ, Burke JR, Smith AC - BMC Nephrol (2015)

Bottom Line: The estimated cost savings associated with telehealth were $31,837 in 2013 (average saving of $505 per consultation).Our study suggests that paediatric telenephrology is a viable and economic method for patient assessment and follow up.The benefits include improved access to paediatric nephrology services for patients and their families, educational opportunity for the regional medical teams, and a substantial cost saving for the health care system.

View Article: PubMed Central - PubMed

Affiliation: Queensland Child and Adolescent Renal Service, Queensland, Australia. peter.trnka@health.qld.gov.au.

ABSTRACT

Background: Telemedicine has emerged as an alternative mode of health care delivery over the last decade. To date, there is very limited published information in the field of telehealth and paediatric nephrology. The aim of this study was to review our experience with paediatric telenephrology in Queensland, Australia.

Methods: A retrospective audit of paediatric nephrology telehealth consultations to determine the nature of the telehealth activity, reasons for referral to telehealth, and to compare costs and potential savings of the telehealth service.

Results: During a ten-year period (2004 - 2013), 318 paediatric telenephrology consultations occurred for 168 patients (95 male) with the median age of 8 years (range 3 weeks to 24 years). Congenital anomalies of the kidney and urinary tract (30 %), followed by nephrotic syndrome (16 %), kidney transplant (12 %), and urinary tract infection (9 %) were the most common diagnoses. The estimated cost savings associated with telehealth were $31,837 in 2013 (average saving of $505 per consultation).

Conclusions: Our study suggests that paediatric telenephrology is a viable and economic method for patient assessment and follow up. The benefits include improved access to paediatric nephrology services for patients and their families, educational opportunity for the regional medical teams, and a substantial cost saving for the health care system.

No MeSH data available.


Related in: MedlinePlus

Regional centres participating in paediatric telenephrology in Queensland
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Fig1: Regional centres participating in paediatric telenephrology in Queensland

Mentions: Fifteen regional centres across Queensland were involved in the telehealth consultations during the ten-year study period (Fig. 1). The average distance between the COH in Brisbane and the referring site was 868 km, ranging from 125 km (Toowoomba) to 1822 km (Mt Isa). Most referrals originated from Mackay (805 km from the RCH) with 162 (44.6 %) cases during this time, followed by Hervey Bay (287 km from the RCH) with 81 consultations (22.3 %), Rockhampton (636 km from the RCH) with 36 consultations (9.9 %) and Townsville (1357 km from the RCH) with 35 consultations (9.6 %). Thirty-four telehealth consultations (10.7 %) involved multiple sites.Fig. 1


A retrospective review of telehealth services for children referred to a paediatric nephrologist.

Trnka P, White MM, Renton WD, McTaggart SJ, Burke JR, Smith AC - BMC Nephrol (2015)

Regional centres participating in paediatric telenephrology in Queensland
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4522118&req=5

Fig1: Regional centres participating in paediatric telenephrology in Queensland
Mentions: Fifteen regional centres across Queensland were involved in the telehealth consultations during the ten-year study period (Fig. 1). The average distance between the COH in Brisbane and the referring site was 868 km, ranging from 125 km (Toowoomba) to 1822 km (Mt Isa). Most referrals originated from Mackay (805 km from the RCH) with 162 (44.6 %) cases during this time, followed by Hervey Bay (287 km from the RCH) with 81 consultations (22.3 %), Rockhampton (636 km from the RCH) with 36 consultations (9.9 %) and Townsville (1357 km from the RCH) with 35 consultations (9.6 %). Thirty-four telehealth consultations (10.7 %) involved multiple sites.Fig. 1

Bottom Line: The estimated cost savings associated with telehealth were $31,837 in 2013 (average saving of $505 per consultation).Our study suggests that paediatric telenephrology is a viable and economic method for patient assessment and follow up.The benefits include improved access to paediatric nephrology services for patients and their families, educational opportunity for the regional medical teams, and a substantial cost saving for the health care system.

View Article: PubMed Central - PubMed

Affiliation: Queensland Child and Adolescent Renal Service, Queensland, Australia. peter.trnka@health.qld.gov.au.

ABSTRACT

Background: Telemedicine has emerged as an alternative mode of health care delivery over the last decade. To date, there is very limited published information in the field of telehealth and paediatric nephrology. The aim of this study was to review our experience with paediatric telenephrology in Queensland, Australia.

Methods: A retrospective audit of paediatric nephrology telehealth consultations to determine the nature of the telehealth activity, reasons for referral to telehealth, and to compare costs and potential savings of the telehealth service.

Results: During a ten-year period (2004 - 2013), 318 paediatric telenephrology consultations occurred for 168 patients (95 male) with the median age of 8 years (range 3 weeks to 24 years). Congenital anomalies of the kidney and urinary tract (30 %), followed by nephrotic syndrome (16 %), kidney transplant (12 %), and urinary tract infection (9 %) were the most common diagnoses. The estimated cost savings associated with telehealth were $31,837 in 2013 (average saving of $505 per consultation).

Conclusions: Our study suggests that paediatric telenephrology is a viable and economic method for patient assessment and follow up. The benefits include improved access to paediatric nephrology services for patients and their families, educational opportunity for the regional medical teams, and a substantial cost saving for the health care system.

No MeSH data available.


Related in: MedlinePlus