Cost-effectiveness of a new internet-based monitoring tool for neonatal post-discharge home care
Isetta, Valentina (Centro de Investigación Biomédica en Red de Enfermedades Respiratorias)
Lopez-Agustina, Carmen (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Lopez-Bernal, Esther (Institut d'Investigació Biomèdica Sant Pau)
Amat, Maribel (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Vila-Perales, Montserrat (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Valls, Carme (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Navajas, Daniel (Institut de Bioenginyeria de Catalunya)
Farre, Ramon (Institut d'Investigacions Biomèdiques August Pi i Sunyer)
Universitat Autònoma de Barcelona

Data:	2013
Resum:	Background: The application of information and communication technologies in nursing care is becoming more widespread, but few applications have been reported in neonatal care. A close monitoring of newborns within the first weeks of life is crucial to evaluating correct feeding, growth, and health status. Conventional hospital-based postdischarge monitoring could be improved in terms of costs and clinical effectiveness by using a telemedicine approach. Objective: To evaluate the cost-effectiveness of a new Internet-based system for monitoring low-risk newborns after discharge compared to the standard hospital-based follow-up, with specific attention to prevention of emergency department (ED) visits in the first month of life. Methods: We performed a retrospective cohort study of two low-risk newborn patient groups. One group, born between January 1, 2011, and June 30, 2011, received the standard hospital-based follow-up visit within 48 hours after discharge. After implementing an Internet-based monitoring system, another group, born between July 19, 2011, and January 19, 2012, received their follow-up with this system. Results: A total of 18 (15. 8%) out of 114 newborns who received the standard hospital-based follow-up had an ED visit in the first month of life compared with 5 (5. 6%; P=. 026) out of 90 infants who were monitored by the Internet-based system. The cost of the hospital-based follow-up was 182. 1 per patient, compared with 86. 1 for the Internet-based follow-up. Conclusion: Our Internet-based monitoring approach proved to be both more effective and less costly than the conventional hospital-based follow-up, particularly through reducing subsequent ED visits.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Publicat a:	Journal of medical Internet research, Vol. 15 Núm. 2 (february 2013) , ISSN 1438-8871

DOI: 10.2196/jmir.2361
PMID: 23419609

10 p, 563.8 KB

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