A Model for Telestroke Network Evaluation

Anna Storm (), Franziska Günzel () and Stephan Theiss ()
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Anna Storm: Otto von Guericke University Magdeburg
Franziska Günzel: Otto von Guericke University Magdeburg
Stephan Theiss: Otto von Guericke University Magdeburg

A chapter in Operations Research Proceedings 2010, 2011, pp 551-556 from Springer

Abstract: Abstract Different telestroke network concepts have been implemented worldwide to enable fast and efficient treatment of stroke patients in underserved rural areas. Networks could demonstrate the improvement in clinical outcome, but have so far excluded a cost-effectiveness analysis. With health economic analysis lacking, current telestroke reimbursement by third-party payers is limited to special contracts and not included in the regular billing system. Based on a systematic literature review and expert interviews with health care economists, third-party payers and neurologists, a Markov model was developed from the third-party payer perspective. In principle, it enables telestroke networks to conduct cost-effectiveness studies, because the majority of the required data can be extracted from health insurance companies’ databases and the telestroke network itself. The model presents a basis for calculating the telestroke value creation potential and for cost sharing approaches among different third-party payers.

Keywords: Markov Model; Stroke Patient; Barthel Index; Stroke Care; Creation Potential (search for similar items in EconPapers)
Date: 2011
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Persistent link: https://EconPapers.repec.org/RePEc:spr:oprchp:978-3-642-20009-0_87

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DOI: 10.1007/978-3-642-20009-0_87

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