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Table 2 Estimated costs of providing the paediatric telenephrology service by telemedicine and face-to-face consultations during a one-year period from January to December 2013 (63 consultations)

From: A retrospective review of telehealth services for children referred to a paediatric nephrologist

Cost

Telemedicine ($)

RCH Outpatients ($)

Telehealth coordinator ($38 per h), 33.33hrsa

1,266

0

Specialist ($140 per h), 22.22hrsb

3,111

3,111

Local admin support ($36 per h), 22.22hrsc

0

800

Regional presenter (paediatrician/medical officer) ($140 per h), 22.22hrsb

3,111

0

Regional admin support ($36 per h), 33.33hrsb

1,200

0

Patient traveld

0

29,294

Patient accommodationd

0

7,320

Total Cost

8,688

40,525

  1. aUniversity of Queensland hourly rates were used at Level 6 [22]. An additional 50 % of time was added to the number of hours allocated to telehealth coordinator to account for clinic preparation, such as booking regional or remote videoconference sites
  2. bSpecialist/Paediatrician hourly rates were calculated using the Queensland Governments Industrial agreement at the highest pay level (L29), plus a loading of 35 % for additional benefits [23]
  3. cLocal administration support hourly rate was calculated using the Queensland Health industrial agreements for Queensland Government Industrial agreement at a Level 4 with 21 % on costs [24]
  4. dQueensland Health Patient Travel Subsidy Scheme [8]