@Article{信息:doi 10.2196 / / jmir。2361，作者=“Isetta, Valentina和Lopez-Agustina, Carme和Lopez-Bernal, Esther和Amat, Maribel和Vila, Montserrat和Valls, Carme和Navajas, Daniel和Farre, Ramon”，标题=“基于互联网的新生儿出院后家庭护理新监测工具的成本效益”，期刊=“J Med Internet Res”，年=“2013”，月=“Feb”，日=“18”，卷=“15”，数=“2”，页=“e38”，关键词=“远程医疗;telenursing;互联网;新生儿学;背景:信息通信技术在护理中的应用越来越广泛，但在新生儿护理中的应用鲜有报道。在生命最初几周内对新生儿进行密切监测对于评估正确喂养、生长和健康状况至关重要。通过使用远程医疗方法，可以在成本和临床效果方面改进传统的以医院为基础的出院后监测。目的:与标准的医院随访相比，评估一种新的基于互联网的低风险新生儿出院后监测系统的成本效益，特别注意预防出生后第一个月的急诊(ED)就诊。方法:我们对两组低危新生儿患者进行回顾性队列研究。 One group, born between January 1, 2011, and June 30, 2011, received the standard hospital-based follow-up visit within 48 hours after discharge. After implementing an Internet-based monitoring system, another group, born between July 19, 2011, and January 19, 2012, received their follow-up with this system. Results: A total of 18 (15.8{\%}) out of 114 newborns who received the standard hospital-based follow-up had an ED visit in the first month of life compared with 5 (5.6{\%}; P=.026) out of 90 infants who were monitored by the Internet-based system. The cost of the hospital-based follow-up was 182.1{\texteuro} per patient, compared with 86.1{\texteuro} for the Internet-based follow-up. Conclusion: Our Internet-based monitoring approach proved to be both more effective and less costly than the conventional hospital-based follow-up, particularly through reducing subsequent ED visits. ", issn="1438-8871", doi="10.2196/jmir.2361", url="//www.mybigtv.com/2013/2/e38/", url="https://doi.org/10.2196/jmir.2361", url="http://www.ncbi.nlm.nih.gov/pubmed/23419609" }