ArticleBundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz2022
[Is a tele-emergency physician system a sensible addition in rural German regions?-An analysis from a medical and economic perspective].
Article in Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
8 citing papers in PubMed.
- [Medical resource needs and telemedical potential in after-hours care: An exploratory survey among physicians].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2026Article
- Pediatric pre-hospital emergencies in a rural region in northern Germany: frequency, urgency, patterns of utilization, and comparison with adult cases.BMC emergency medicine · 2026Observational
- [Measures to ensure outpatient care in rural and structurally weak regions-a narrative review].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025Review
- Three years of tele-emergency medicine with mobile on-site audio-video streaming in lower Saxony, Germany - descriptive results of a longitudinal secondary data analysis.BMC emergency medicine · 2025Article
- Integrating Telemedical Supervision, Responder Apps, and Data-Driven Triage: The RuralRescue Model of Personalized Emergency Care.Journal of personalized medicine · 2025Article
- A retrospective analysis of the need for on-site emergency physician presence and mission characteristics of a rural ground-based emergency medical service.BMC emergency medicine · 2024Article
- Long-term effects of a prehospital telemedicine system on structural and process quality indicators of an emergency medical service.Scientific reports · 2024Article
- Medical experience as an influencing parameter in emergency medical care for psychiatric emergencies: retrospective analysis of a multicenter survey.BMC emergency medicine · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesIn 2017, a tele-emergency-physician system was implemented in the county of Vorpommern-Greifswald (Germany) to optimise the prehospital emergency medical service and to counteract current challenges. It was evaluated from a medical and economic perspective whether a tele-emergency physician system is a useful addition to the existing prehospital emergency system, especially in rural regions. MATERIALS AND
methodsApproximately 250,000 emergency medical service data from the years 2015 to 2020 (before and after the implementation of the telemedical system) were analysed in a pre-post comparison. A total of 3611 tele-emergency physician cases were analysed regarding medical indication and time-related factors. Additionally, total costs of the tele-emergency physician system as well as a cost analysis regarding prehospital and hospital medical costs of selected diseases were performed.
resultsThe tele-emergency physician treated patients of all age groups with a wide spectrum of diseases. Of the cases, 48.2% were moderate to severe but not life-threatening disorders. Patients as well as emergency medical service personnel embraced the new system. According to the data, ambulances that were equipped with the telemedical system had the number of missions requiring an emergency physician on scene reduced significantly by 20%. The yearly costs of this telemedical system amount to €1.7 million.
conclusionsThe tele-emergency physician system proved to be a telemedical innovation that is medically advisable, functional and cost-efficient. Therefore, the tele-emergency physician system continued to operate after the end of the research project and is ready to be implemented across Germany.
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Registered trials
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