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Titre : | Determining the Marginal Cost Differences of a Telehealth Versus an In-person Occupational Therapy Evaluation Session for Stroke Survivors Using Time-driven Activity-based Costing (2023) |
Auteurs : | Corey Morrow ; Michelle Woodbury ; Annie N. Simpson ; Eyad Almallouhi ; Kit N. Simpson |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 4, 2023) |
Article en page(s) : | p. 547-553 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Coûts et analyse des coûts ; Kinésithérapie (spécialité) ; Réadaptation ; Télémédecine |
Résumé : | Objective To estimate the marginal cost differences and care delivery process of a telerehabilitation vs outpatient session. Design This study used a time-driven activity-based costing approach including (1) observation of rehabilitation sessions and creation of manual time stamps, (2) structured and recorded interviews with 2 occupational therapists familiar with outpatient therapy and 2 therapists familiar with telerehabilitation, (3) collection of standard wages for providers, and (4) the creation of an iterative flowchart of both an outpatient and telerehabilitation session care delivery process. Setting Telerehabilitation and outpatient therapy evaluation. Participants Three therapists familiar with care deliver for telerehabilitation or outpatient therapy (N=3). Interventions Not applicable. Main Outcome Measures Marginal cost difference between telerehabilitation and outpatient therapy evaluations. Results Overall, telerehabilitation ($225.41) was more costly than outpatient therapy ($168.29) per session for a cost difference of $57.12. Primary time drivers of this finding were initial phone calls (0 minutes for OP therapists vs 35 minutes for TR) and post documentation (5 minutes for OP vs 30 minutes for TR) demands for telerehabilitation. Conclusions Telerehabilitation is an emerging platform with the potential to reduce costs, improve health care inequities, and facilitate better patient outcomes. Improvements in documentation practices, staffing, technology, and reimbursement structuring would allow for a more successful translation. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999322017580 |