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    Krishnan, Anita Fuska, Mary Dixon, Ron and Sable, Craig A. 2014. The Evolution of Pediatric Tele-echocardiography: 15-Year Experience of Over 10,000 Transmissions. Telemedicine and e-Health, Vol. 20, Issue. 8, p. 681.

    Magann, Everett F. McKelvey, Samantha S. Hitt, Wilbur C. Smith, Michael V. Azam, Ghazala A. and Lowery, Curtis L. 2011. The Use of Telemedicine in Obstetrics: A Review of the Literature. Obstetrical & Gynecological Survey, Vol. 66, Issue. 3, p. 170.

    Kovács, Ferenc Török, Miklós Horváth, Csaba Balogh, Ádám Tamás Zsedrovits, Tamás Nagy, Andrea and Hosszú, Gábor 2010. A New, Phonocardiography-Based Telemetric Fetal Home Monitoring System. Telemedicine and e-Health, Vol. 16, Issue. 8, p. 878.

    Triunfo, Riccardo Tumbarello, Roberto Sulis, Alessandro Zanetti, Gianluigi Lianas, Luca Meloni, Vittorio and Frexia, Francesca 2010. COTS technologies for telemedicine applications. International Journal of Computer Assisted Radiology and Surgery, Vol. 5, Issue. 1, p. 11.

    Wade, Victoria A Karnon, Jonathan Elshaug, Adam G and Hiller, Janet E 2010. A systematic review of economic analyses of telehealth services using real time video communication. BMC Health Services Research, Vol. 10, Issue. 1,

    Mistry, H Dowie, R Young, TA and Gardiner, HM 2007. Costs of NHS maternity care for women with multiple pregnancy compared with high-risk and low-risk singleton pregnancy. BJOG: An International Journal of Obstetrics & Gynaecology, Vol. 114, Issue. 9, p. 1104.

  • International Journal of Technology Assessment in Health Care, Volume 23, Issue 1
  • January 2007, pp. 116-125

Telemedicine in pediatric and perinatal cardiology: Economic evaluation of a service in English hospitals

  • Robin Dowie (a1), Hema Mistry (a1), Tracey A. Young (a2), Gwyn C. Weatherburn (a3), Helena M. Gardiner (a4), Michael Rigby (a4), Giselle V. Rowlinson (a5) and Rodney C. G. Franklin (a6)
  • DOI:
  • Published online: 01 January 2007

Objectives: Pediatric cardiology has an expanding role in fetal and pediatric screening. The aims of this study were to observe how district hospitals use a pediatric telecardiology service, and to compare the costs and outcomes of patients referred to specialists by means of this service or conventionally.

Methods: A telemedicine service was set up between a pediatric cardiac center in London and four district hospitals for referrals of second trimester women, newborn babies, and older children. Clinicians in each hospital decided on the role for their service. Clinical events were audited prospectively and costed, and patient surveys were conducted.

Results: The hospitals differed in their selection of patient groups for the service. In all, 117 telemedicine patients were compared with 387 patients seen in London or in outreach clinics. Patients selected for telemedicine were generally healthier. For all patients, the mean cost for the initial consultation was £411 for tele-referrals and £277 for conventional referrals, a nonsignificant difference. Teleconsultations for women and children were significantly more expensive because of technology costs, whereas for babies, ambulance transfers were much more costly. After 6-months follow-up, the difference between referral methods for all patients was nonsignificant (telemedicine, £3,350; conventional referrals, £2,172), and nonsignificant within the patient groups.

Conclusions: Telemedicine was perceived by cardiologists, district clinicians, and families as reliable and efficient. The equivocal 6-month cost results indicate that investment in the technology is warranted to enhance pediatric and perinatal cardiology services.

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International Journal of Technology Assessment in Health Care
  • ISSN: 0266-4623
  • EISSN: 1471-6348
  • URL: /core/journals/international-journal-of-technology-assessment-in-health-care
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