Journal of Pediatric Care

A cost-effectiveness analysis of inpatient telemedicine pediatric consults in satellite hospitals.

Telemedicine has been growing in popularity in pediatric health care. Convenience of use, efficiency and limited need for resources are the primary drivers but barriers remain in widespread acceptance due to provider apprehension and inconsistent reimbursement. The onset of the global COVID-19 pandemic and associated need for social distancing has changed the telemedicine landscape drastically as government and providers scramble to telemedicine as an alternative to continue to evaluate and manage patients safely. With the limitations in mind, telemedicine has not only been shown to be cost effective but may also contribute to curb climate change. In large hospital networks, subspecialists mostly prefer to travel from the main hospital to the satellite locations to do consults driven partly by the need for higher reimbursement amount and partly from discomfort with the use of novel technology. We present a model for pediatric inpatient consults and compare its cost- effectiveness to face-to-face consultation in our hospital system.

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Author(s):

*Anirudha Das MD1, Chionye Ossai MD1, Ajith Mathew MD1

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