| Abstract | Increasing market share by attracting patient referrals has long been cited as a justification for
implementing telemedicine. METHODS: At the onset of this study, there were two level III
NICUs in North Carolina that did not have on-site cardiology support. During the study period,
both institutions set up telemedicine links to the University of North Carolina Health Care
System for the provision of rapid cardiology support. OBJECTIVE: This paper tests the
hypothesis that telemedicine was associated with an increase in the percentage of newborn
referrals transferred to UNC instead of the other academic medical centers. RESULTS:
Analysis of a total of 201 transfers over a three and a half year period shows that the
percentage of acute transfers to UNC increased from 58 % during the pre-intervention phase
to 86 % in the post-intervention phase (p = 0.001). An increase in transfers to UNC was
observed from both of the level III centers. CONCLUSION: Telemedicine was an effective
tool to attract patient referrals in a competitive tertiary care environment. |