Is a tele-emergency physician system a sensible addition in rural German regions?-An analysis from a medical and economic perspective
© 2022. The Author(s)..
BACKGROUND AND OBJECTIVES: In 2017, a tele-emergency-physician system was implemented in the county of Vorpommern-Greifswald (Germany) to optimise the prehospital emergency medical service and to counteract current challenges. It was evaluated from a medical and economic perspective whether a tele-emergency physician system is a useful addition to the existing prehospital emergency system, especially in rural regions.
MATERIALS AND METHODS: Approximately 250,000 emergency medical service data from the years 2015 to 2020 (before and after the implementation of the telemedical system) were analysed in a pre-post comparison. A total of 3611 tele-emergency physician cases were analysed regarding medical indication and time-related factors. Additionally, total costs of the tele-emergency physician system as well as a cost analysis regarding prehospital and hospital medical costs of selected diseases were performed.
RESULTS: The tele-emergency physician treated patients of all age groups with a wide spectrum of diseases. Of the cases, 48.2% were moderate to severe but not life-threatening disorders. Patients as well as emergency medical service personnel embraced the new system. According to the data, ambulances that were equipped with the telemedical system had the number of missions requiring an emergency physician on scene reduced significantly by 20%. The yearly costs of this telemedical system amount to €1.7 million.
CONCLUSIONS: The tele-emergency physician system proved to be a telemedical innovation that is medically advisable, functional and cost-efficient. Therefore, the tele-emergency physician system continued to operate after the end of the research project and is ready to be implemented across Germany.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:65 |
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| Enthalten in: |
Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz - 65(2022), 10 vom: 07. Okt., Seite 1007-1015 |
| Sprache: |
Deutsch |
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| Weiterer Titel: |
Ist das Telenotarzt-System eine sinnvolle Ergänzung im ländlichen Raum? – Eine Analyse aus medizinischer und ökonomischer Perspektive |
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| Beteiligte Personen: |
Brinkrolf, Peter [VerfasserIn] |
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| Links: |
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| Themen: |
Emergency medical services |
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| Anmerkungen: |
Date Completed 03.10.2022 Date Revised 17.11.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s00103-022-03581-4 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 245 | 1 | 0 | |a Is a tele-emergency physician system a sensible addition in rural German regions?-An analysis from a medical and economic perspective |
| 246 | 3 | 3 | |a Ist das Telenotarzt-System eine sinnvolle Ergänzung im ländlichen Raum? – Eine Analyse aus medizinischer und ökonomischer Perspektive |
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| 500 | |a Date Revised 17.11.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2022. The Author(s). | ||
| 520 | |a BACKGROUND AND OBJECTIVES: In 2017, a tele-emergency-physician system was implemented in the county of Vorpommern-Greifswald (Germany) to optimise the prehospital emergency medical service and to counteract current challenges. It was evaluated from a medical and economic perspective whether a tele-emergency physician system is a useful addition to the existing prehospital emergency system, especially in rural regions | ||
| 520 | |a MATERIALS AND METHODS: Approximately 250,000 emergency medical service data from the years 2015 to 2020 (before and after the implementation of the telemedical system) were analysed in a pre-post comparison. A total of 3611 tele-emergency physician cases were analysed regarding medical indication and time-related factors. Additionally, total costs of the tele-emergency physician system as well as a cost analysis regarding prehospital and hospital medical costs of selected diseases were performed | ||
| 520 | |a RESULTS: The tele-emergency physician treated patients of all age groups with a wide spectrum of diseases. Of the cases, 48.2% were moderate to severe but not life-threatening disorders. Patients as well as emergency medical service personnel embraced the new system. According to the data, ambulances that were equipped with the telemedical system had the number of missions requiring an emergency physician on scene reduced significantly by 20%. The yearly costs of this telemedical system amount to €1.7 million | ||
| 520 | |a CONCLUSIONS: The tele-emergency physician system proved to be a telemedical innovation that is medically advisable, functional and cost-efficient. Therefore, the tele-emergency physician system continued to operate after the end of the research project and is ready to be implemented across Germany | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Emergency medical services | |
| 650 | 4 | |a Emergency medicine | |
| 650 | 4 | |a Rural health services | |
| 650 | 4 | |a Technological innovations | |
| 650 | 4 | |a Tele-emergency physician | |
| 650 | 4 | |a Telemedicine | |
| 700 | 1 | |a Kuntosch, Julia |e verfasserin |4 aut | |
| 700 | 1 | |a Metelmann, Bibiana |e verfasserin |4 aut | |
| 700 | 1 | |a Metelmann, Camilla |e verfasserin |4 aut | |
| 700 | 1 | |a Hahnenkamp, Klaus |e verfasserin |4 aut | |
| 700 | 1 | |a Süss, Rebekka |e verfasserin |4 aut | |
| 700 | 1 | |a Hasebrook, Joachim Paul |e verfasserin |4 aut | |
| 700 | 1 | |a Fleßa, Steffen |e verfasserin |4 aut | |
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