Cost-effectiveness of telemonitoring for high-risk pregnant women

Int J Med Inform. 2008 Jul;77(7):470-6. doi: 10.1016/j.ijmedinf.2007.08.009. Epub 2007 Oct 17.

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.

MeSH terms

  • Belgium / epidemiology
  • Cost-Benefit Analysis
  • Female
  • Humans
  • Monitoring, Physiologic / economics*
  • Monitoring, Physiologic / statistics & numerical data
  • Pregnancy / statistics & numerical data*
  • Pregnancy Complications / diagnosis*
  • Pregnancy Complications / economics*
  • Pregnancy Complications / epidemiology
  • Risk Factors
  • Telemedicine / economics*
  • Telemedicine / statistics & numerical data