Next Article in Journal
Analyzing and Designing Business Processes in the Ghana Cocoa Supply Chain for Supporting Inclusiveness
Previous Article in Journal
Financial Analysis of Habitat Conservation Banking in California
Article

Cost and Potential Savings of Electronic Consultation and Its Relationship with Reduction in Atmospheric Pollution

1
Primary Care (PC) A Estrada, Área Sanitaria Integrada Santiago de Compostela, Servicio Galego da Saúde, A Estrada, 36680 Santiago de Compostela, Spain
2
Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS), 15706 Santiago de Compostela, Spain
3
Facultad de Ciencias Economicas y Empresariales, Universidad de Vigo, 36310 Vigo, Spain
4
Servicio de Cardiología, Complejo Hospitalario Universitario de Santiago de Compostela, Servicio Galego da Saúde, 15706 Santiago de Compostela, Spain
5
Centro de Investigación Biomédica en Red-Enfermedades Cardiovasculares (CIBERCV), Complejo Hospitalario Universitario de Santiago de Compostela, 15706 Santiago de Compostela, Spain
6
PC Concepción Arenal, Área Sanitaria Integrada Santiago de Compostela, Servicio Galego da Saúde, 15701 Santiago de Compostela, Spain
7
PC Porto do Son, Área Sanitaria Integrada Santiago de Compostela, Servicio Galego da Saúde, 15970 Santiago de Compostela, Spain
*
Author to whom correspondence should be addressed.
Academic Editor: Petra Poulová
Sustainability 2021, 13(22), 12436; https://doi.org/10.3390/su132212436
Received: 18 September 2021 / Revised: 29 October 2021 / Accepted: 5 November 2021 / Published: 11 November 2021
Background: Telemedicine has been incorporated into daily clinical practice. The purpose of this paper is to evaluate the economic impact of electronic consultation as a means of referring patients between Primary Care (PC) services and the referral Cardiology Service (CS) of a tertiary hospital, in particular, the cost of reduced air pollution. Methods: The direct and indirect costs associated with all the interconsultations between PC and a CS of a tertiary hospital were analyzed under a universal single act model versus a prior e-consultation model that selected patients who would later attend the single-act consultation. The cost of pollution from private motor vehicle travel by road has been analyzed with a Cobb–Douglas cost function. Results: The total cost per patient, including the costs associated with death, represented a saving in the model with e-consultation of 25.6%. The economic value for the reduction of contamination would be EUR 12.86 per patient. Conclusions: The introduction of e-consultation in the outpatient management of patients referred from PC to a CS, helps to reduce direct and indirect costs for the patient and the Health Care System. The cost of pollution associated with the trips explains the total cost to a greater extent, except for the first face-to-face consultation. View Full-Text
Keywords: electronic practice; efficiency; economic impact; health system electronic practice; efficiency; economic impact; health system
Show Figures

Figure 1

MDPI and ACS Style

Rey Aldana, D.; Reyes Santias, F.; Mazón Ramos, P.; Portela Romero, M.; Cinza Sanjurjo, S.; Álvarez Álvarez, B.; Agra Bermejo, R.; Gude Sampedro, F.; González-Juanatey, J.R. Cost and Potential Savings of Electronic Consultation and Its Relationship with Reduction in Atmospheric Pollution. Sustainability 2021, 13, 12436. https://doi.org/10.3390/su132212436

AMA Style

Rey Aldana D, Reyes Santias F, Mazón Ramos P, Portela Romero M, Cinza Sanjurjo S, Álvarez Álvarez B, Agra Bermejo R, Gude Sampedro F, González-Juanatey JR. Cost and Potential Savings of Electronic Consultation and Its Relationship with Reduction in Atmospheric Pollution. Sustainability. 2021; 13(22):12436. https://doi.org/10.3390/su132212436

Chicago/Turabian Style

Rey Aldana, Daniel, Francisco Reyes Santias, Pilar Mazón Ramos, Manuel Portela Romero, Sergio Cinza Sanjurjo, Belén Álvarez Álvarez, Rosa Agra Bermejo, Francisco Gude Sampedro, and José R. González-Juanatey. 2021. "Cost and Potential Savings of Electronic Consultation and Its Relationship with Reduction in Atmospheric Pollution" Sustainability 13, no. 22: 12436. https://doi.org/10.3390/su132212436

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop