An economic and health outcome evaluation of telehealth in rural sepsis care: a comparative effectiveness study.
Nicholas M MohrAllison R SchuetteFred UllrichLuke J MackKatie DeJongCarlos Arturo CamargoKori S ZachrisonKrislyn M BoggsAdam SkibbeAmanda BellMark PalsDan M ShaneKnute D CarterKimberly As MerchantMarcia M WardPublished in: Journal of comparative effectiveness research (2022)
Aim: Sepsis is a top contributor to in-hospital mortality and, healthcare expenditures and telehealth have been shown to improve short-term sepsis care in rural hospitals. This study will evaluate the effect of provider-to-provider video telehealth in rural emergency departments (EDs) on healthcare costs and long-term outcomes for sepsis patients. Materials & methods: We will use Medicare administrative claims to compare total healthcare expenditures, mortality, length-of-stay, readmissions, and category-specific costs between telehealth-subscribing and control hospitals. Results: The results of this work will demonstrate the extent to which telehealth use is associated with total healthcare expenditures for sepsis care. Conclusion: These findings will be important to inform future policy initiatives to improve sepsis care in rural EDs. Clinical Trial Registration: NCT05072145 (ClinicalTrials.gov).
Keyphrases
- healthcare
- septic shock
- acute kidney injury
- intensive care unit
- south africa
- clinical trial
- palliative care
- health insurance
- end stage renal disease
- primary care
- quality improvement
- randomized controlled trial
- public health
- ejection fraction
- risk factors
- peritoneal dialysis
- newly diagnosed
- prognostic factors
- mental health
- cardiovascular disease
- coronary artery disease
- current status
- study protocol
- health promotion