A tele-obstetric broadband service including ultrasound, videoconferencing and cardiotocogram. A high cost and a low volume of patients
We established a tele-obstetric service connecting the Department of Obstetrics and Gynaecology at the Nordland Hospital in Bodø to the delivery unit at the Nordland Hospital in Lofoten. The telemedicine service included a videoconferencing link (3 Mbit/s) for transmission of ultrasound scans and a...
Published in: | Journal of Telemedicine and Telecare |
---|---|
Main Authors: | , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
SAGE Publications
2007
|
Subjects: | |
Online Access: | http://dx.doi.org/10.1258/135763307780908085 http://journals.sagepub.com/doi/pdf/10.1258/135763307780908085 |
id |
crsagepubl:10.1258/135763307780908085 |
---|---|
record_format |
openpolar |
spelling |
crsagepubl:10.1258/135763307780908085 2023-05-15T15:45:25+02:00 A tele-obstetric broadband service including ultrasound, videoconferencing and cardiotocogram. A high cost and a low volume of patients Norum, Jan Bergmo, Trine S Holdø, Bjørn Johansen, May V Vold, Ingar N Sjaaeng, Elisabeth E Jacobsen, Heidi 2007 http://dx.doi.org/10.1258/135763307780908085 http://journals.sagepub.com/doi/pdf/10.1258/135763307780908085 en eng SAGE Publications http://journals.sagepub.com/page/policies/text-and-data-mining-license Journal of Telemedicine and Telecare volume 13, issue 4, page 180-184 ISSN 1357-633X 1758-1109 Health Informatics journal-article 2007 crsagepubl https://doi.org/10.1258/135763307780908085 2022-04-14T04:37:21Z We established a tele-obstetric service connecting the Department of Obstetrics and Gynaecology at the Nordland Hospital in Bodø to the delivery unit at the Nordland Hospital in Lofoten. The telemedicine service included a videoconferencing link (3 Mbit/s) for transmission of ultrasound scans and a low-speed data link (telephone modem) for transmission of cardiotocograms (CTGs). One hundred and thirty pregnant women entered the antenatal clinic in Lofoten during the eight-month study period. A total of 140 CTGs were recorded. The tele-ultrasound service was used in five cases (4%). The cases were serious malformation, Down's syndrome, breech presentation, vaginal bleeding during pregnancy and triplets. Analysis showed that the cost of patient travel was NOK 2460 per transfer. The variable cost of videoconferencing was NOK 250 per consultation. However, the total investment costs for the telemedicine service, including the broadband infrastructure, was NOK 1.7 million (Euro 212 000). The telemedicine service was not cost saving at annual workloads below 208. We conclude that the installation has to be used by other medical specialities to make it cost-effective. Article in Journal/Newspaper Bodø Bodø Lofoten Nordland Nordland Nordland SAGE Publications (via Crossref) Bodø ENVELOPE(14.405,14.405,67.280,67.280) Lofoten Triplets ENVELOPE(-59.750,-59.750,-62.383,-62.383) Journal of Telemedicine and Telecare 13 4 180 184 |
institution |
Open Polar |
collection |
SAGE Publications (via Crossref) |
op_collection_id |
crsagepubl |
language |
English |
topic |
Health Informatics |
spellingShingle |
Health Informatics Norum, Jan Bergmo, Trine S Holdø, Bjørn Johansen, May V Vold, Ingar N Sjaaeng, Elisabeth E Jacobsen, Heidi A tele-obstetric broadband service including ultrasound, videoconferencing and cardiotocogram. A high cost and a low volume of patients |
topic_facet |
Health Informatics |
description |
We established a tele-obstetric service connecting the Department of Obstetrics and Gynaecology at the Nordland Hospital in Bodø to the delivery unit at the Nordland Hospital in Lofoten. The telemedicine service included a videoconferencing link (3 Mbit/s) for transmission of ultrasound scans and a low-speed data link (telephone modem) for transmission of cardiotocograms (CTGs). One hundred and thirty pregnant women entered the antenatal clinic in Lofoten during the eight-month study period. A total of 140 CTGs were recorded. The tele-ultrasound service was used in five cases (4%). The cases were serious malformation, Down's syndrome, breech presentation, vaginal bleeding during pregnancy and triplets. Analysis showed that the cost of patient travel was NOK 2460 per transfer. The variable cost of videoconferencing was NOK 250 per consultation. However, the total investment costs for the telemedicine service, including the broadband infrastructure, was NOK 1.7 million (Euro 212 000). The telemedicine service was not cost saving at annual workloads below 208. We conclude that the installation has to be used by other medical specialities to make it cost-effective. |
format |
Article in Journal/Newspaper |
author |
Norum, Jan Bergmo, Trine S Holdø, Bjørn Johansen, May V Vold, Ingar N Sjaaeng, Elisabeth E Jacobsen, Heidi |
author_facet |
Norum, Jan Bergmo, Trine S Holdø, Bjørn Johansen, May V Vold, Ingar N Sjaaeng, Elisabeth E Jacobsen, Heidi |
author_sort |
Norum, Jan |
title |
A tele-obstetric broadband service including ultrasound, videoconferencing and cardiotocogram. A high cost and a low volume of patients |
title_short |
A tele-obstetric broadband service including ultrasound, videoconferencing and cardiotocogram. A high cost and a low volume of patients |
title_full |
A tele-obstetric broadband service including ultrasound, videoconferencing and cardiotocogram. A high cost and a low volume of patients |
title_fullStr |
A tele-obstetric broadband service including ultrasound, videoconferencing and cardiotocogram. A high cost and a low volume of patients |
title_full_unstemmed |
A tele-obstetric broadband service including ultrasound, videoconferencing and cardiotocogram. A high cost and a low volume of patients |
title_sort |
tele-obstetric broadband service including ultrasound, videoconferencing and cardiotocogram. a high cost and a low volume of patients |
publisher |
SAGE Publications |
publishDate |
2007 |
url |
http://dx.doi.org/10.1258/135763307780908085 http://journals.sagepub.com/doi/pdf/10.1258/135763307780908085 |
long_lat |
ENVELOPE(14.405,14.405,67.280,67.280) ENVELOPE(-59.750,-59.750,-62.383,-62.383) |
geographic |
Bodø Lofoten Triplets |
geographic_facet |
Bodø Lofoten Triplets |
genre |
Bodø Bodø Lofoten Nordland Nordland Nordland |
genre_facet |
Bodø Bodø Lofoten Nordland Nordland Nordland |
op_source |
Journal of Telemedicine and Telecare volume 13, issue 4, page 180-184 ISSN 1357-633X 1758-1109 |
op_rights |
http://journals.sagepub.com/page/policies/text-and-data-mining-license |
op_doi |
https://doi.org/10.1258/135763307780908085 |
container_title |
Journal of Telemedicine and Telecare |
container_volume |
13 |
container_issue |
4 |
container_start_page |
180 |
op_container_end_page |
184 |
_version_ |
1766379784606056448 |