{"id":54391,"date":"2018-03-09T22:42:08","date_gmt":"2018-03-09T22:42:08","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-coste-beneficio-de-la-telemedicina-con-la-camara-de-fondo-de-ojo-no-midriatica-como-estrategia-de-cribado-de-la-retinopata%c2%ada-diabetica\/"},"modified":"2018-03-09T22:42:08","modified_gmt":"2018-03-09T22:42:08","slug":"analisis-coste-beneficio-de-la-telemedicina-con-la-camara-de-fondo-de-ojo-no-midriatica-como-estrategia-de-cribado-de-la-retinopata%c2%ada-diabetica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-economicas\/analisis-coste-beneficio-de-la-telemedicina-con-la-camara-de-fondo-de-ojo-no-midriatica-como-estrategia-de-cribado-de-la-retinopata%c2%ada-diabetica\/","title":{"rendered":"An\u00e1lisis coste beneficio de la telemedicina con la c\u00e1mara de fondo de ojo no midri\u00e1tica, como estrategia de cribado de la retinopat\u00edadiab\u00e9tica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda  Florentina Alonso Alperi <\/strong><\/h2>\n<p>Objetivo     realizar un an\u00e1lisis econ\u00f3mico para disponer de elementos de juicio razonables para la toma de decisiones acerca de la implantaci\u00f3n o no de la telemedicina utilizando la c\u00e1mara de retina no-midri\u00e1tica como alternativa a la oftalmoscopia indirecta con dilataci\u00f3n dela pupila, teniendo en cuenta no solo los costes sino tambi\u00e9n los beneficios asociados a cada alternativa.  m\u00e9todo     se estudia la rentabilidad social de un programa de detecci\u00f3n precoz de la retinopa\u00edta diab\u00e9tica. Los costes sociales de detecci\u00f3n de la enfermedad se comparan con los beneficios sociales de la prevenci\u00f3n de la ceguera mediante la utilizaci\u00f3n de la telemedicina con c\u00e1mara de retina no midir\u00e1tica en el screening de la retinopat\u00eda diab\u00e9tica frente al m\u00e9todo tradicional de oftalmoscop\u00eda indirecta con dilataci\u00f3n de la pupila. La t\u00e9cnica utilizada es el an\u00e1lisis coste-beneficio.  resultados     en relaci\u00f3n a los costes, si bien desde el punto de vista del sector sanitario la retinograf\u00eda con c\u00e1mara no midri\u00e1tica en consulta de endocrinilog\u00eda o atenci\u00f3n primaria es m\u00e1s caro en comparaci\u00f3n con el m\u00e9todo tradicional (1,18 euros extra por paciente), al adoptar una perspectiva social y considerar tambi\u00e9n los costes que tienen que soportar el paciente y su familia, la realizaci\u00f3n de la prueba de cribado mediante la oftalmosocipia directa en la consulta de oftalmolog\u00eda supone costes adicionales por pacientes de 45,46 euros frente a la c\u00e1mara no midri\u00e1tica. El incremento del coste para el sistema sanitario se debe a la inversi\u00f3n inicial necesaria para la adquisici\u00f3n del equipamiento de la nueva t\u00e9cnica pero seria r\u00e1pidamente amortizada dada la preValencia de la enfermedad. por otro lado, en lo que respecta a los beneficios, la nueva alternativa de cribado comporta unos beneficios incrementales de 185 euros.  conclusiones     desde una perspectiva global, los costes y beneficios asociadas a la realizaci\u00f3n dela prueba de diagnostico de<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>An\u00e1lisis coste beneficio de la telemedicina con la c\u00e1mara de fondo de ojo no midri\u00e1tica, como estrategia de cribado de la retinopat\u00edadiab\u00e9tica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 An\u00e1lisis coste beneficio de la telemedicina con la c\u00e1mara de fondo de ojo no midri\u00e1tica, como estrategia de cribado de la retinopat\u00edadiab\u00e9tica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda  Florentina Alonso Alperi <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Santiago de compostela<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 28\/07\/2006<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>ulla De Irazaz\u00e1bal Francisco G\u00f3mez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Mar\u00eda  del carmen Cap\u00e9ans tom\u00e9 <\/li>\n<li> L\u00f3pez g\u00e1lvez Mar\u00eda isabel (vocal)<\/li>\n<li>isabel Blanco dopico (vocal)<\/li>\n<li>Mar\u00eda  antonia Gil hernandez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Florentina Alonso Alperi Objetivo realizar un an\u00e1lisis econ\u00f3mico para disponer de elementos de juicio razonables para [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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