| Cost-benefit of the telecardiology service in the state of Minas Gerais: Minas Telecardio Project. | |
| | |
MedLine Citation:
|
PMID: 21808852 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND: Telecardiology is a tool that can aid in cardiovascular care, mainly in towns located in remote areas. However, economic assessments on this subject are scarce and have yielded controversial results. OBJECTIVE: To evaluate the cost-benefit of implementing a Telecardiology service in remote, small towns in the state of Minas Gerais, Brazil. METHODS: The study used the database from the Minas Telecardio (MTC) Project, developed from June 2006 to November 2008, in 82 towns in the countryside of the state. Each municipality received a microcomputer with a digital electrocardiograph, with the possibility of transmitting ECG tracings and communicating with the on-duty cardiologist at the University hospital. The cost-benefit analysis was carried out by comparing the cost of performing an ECG in the project versus the cost of performing it by patient referral to another city. RESULTS: The average cost of an ECG in the MTC project was R$ 28.92, decomposed into R$ 8.08 for the cost of implementation and R$ 20.84 for maintenance. The cost simulation of the ECG with referral ranged from R$ 30.91 to R$ 54.58, with the cost-benefit ratio being always favorable to the MTC program, regardless of the type of calculation used for referral distance. The simulations considered the financial sponsor's and society's points-of-view. The sensitivity analysis with variation of calibration parameters confirmed these results. CONCLUSION: The implementation of a Telecardiology system as support to primary care in small Brazilian towns is feasible and economically beneficial, and can be used as a regular program within the Brazilian public health system. |
| | |
Authors:
|
Mônica Viegas Andrade; Ana Carolina Maia; Clareci Silva Cardoso; Maria Beatriz Alkmim; Antônio Luiz Pinho Ribeiro |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-7-29 |
Journal Detail:
|
Title: Arquivos brasileiros de cardiologia Volume: - ISSN: 1678-4170 ISO Abbreviation: - Publication Date: 2011 Jul |
Date Detail:
|
Created Date: 2011-8-2 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0421031 Medline TA: Arq Bras Cardiol Country: - |
Other Details:
|
Languages: ENG; POR Pagination: - Citation Subset: - |
Affiliation:
|
Centro de Telessaúde do Hospital das Clínicas, Universidade Federal de Minas Gerais. |
Vernacular Title:
|
Custo-benefício do serviço de telecardiologia no Estado de Minas Gerais: Projeto Minas Telecardio. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Trimetazidine on ischemic injury and reperfusion in coronary artery bypass grafting.
Next Document: Follow-up after acute respiratory distress syndrome caused by influenza a (H1N1) virus infection.