{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T07:58:53Z","timestamp":1790063933717,"version":"4.0.1"},"reference-count":14,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,1,14]],"date-time":"2019-01-14T00:00:00Z","timestamp":1547424000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To test the null hypothesis that there is no difference in patient cost savings between the telemedicine and traditional face\u2010to\u2010face approach. The second objective was to assess the financial impact on the peripheral healthcare system, as compared with staffing a conventional clinic with \u201con\u2010site\u201d otolaryngologist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty\u2010one patients were enrolled. To assess \u201cpatient\u2010benefit\u201d cost savings, a model was formulated that would utilize a certified nurse practitioner (CNP) to conduct a general otolaryngology clinic at the peripheral site, as compared with having to travel to the tertiary referral center. A \u201cperipheral site\u2010benefit\u201d cost analysis was performed to assess costs of initiating and operating a telemedicine clinic at the peripheral site, compared with having an on\u2010site otolaryngologist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The total patient\u2010benefit cost savings would be $182.09 per patient per encounter and $333.22 per patient annually. The fixed cost to the peripheral site to initiate the telemedicine system was $9,895. Two hundred sixty telemedicine encounters would be needed to offset the initial cost, and 537 encounters would be needed to surpass revenue of the conventional clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A real\u2010time telemedicine otolaryngology clinic provides significant cost savings for both patients and the peripheral healthcare system. This pilot study supports telemedicine as a cost\u2010effective approach to providing general otolaryngology care to rural patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4<\/jats:p><\/jats:sec>","DOI":"10.1002\/lio2.244","type":"journal-article","created":{"date-parts":[[2019,1,14]],"date-time":"2019-01-14T13:19:39Z","timestamp":1547471979000},"page":"234-240","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Cost savings associated with an outpatient otolaryngology telemedicine clinic"],"prefix":"10.1002","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3899-6678","authenticated-orcid":false,"given":"Ramez","family":"Philips","sequence":"first","affiliation":[{"name":"Ohio State University College of Medicine  Columbus Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9227-5313","authenticated-orcid":false,"given":"Nolan","family":"Seim","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Ohio State University Wexner Medical Center  Columbus Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Matrka","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Ohio State University Wexner Medical Center  Columbus Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittany","family":"Locklear","sequence":"additional","affiliation":[{"name":"Division of Regional Outreach Ohio State University Wexner Medical Center  Columbus Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9022-6916","authenticated-orcid":false,"given":"Aaron C.","family":"Moberly","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Ohio State University Wexner Medical Center  Columbus Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Inman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Ohio State University Wexner Medical Center  Columbus Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6786-6576","authenticated-orcid":false,"given":"Garth","family":"Essig","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Ohio State University Wexner Medical Center  Columbus Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,1,14]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/014556131609500607"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26188"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2011.08.003"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(99)70371-2"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-8-30"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21812"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2009.0142"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2009.0046"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26929"},{"key":"e_1_2_7_11_1","unstructured":"Core Operational Guidelines for Telehealth Services Involving Provider\u2010Patient Interaction. 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