An analysis of an ongoing trial of rural videoconference fracture clinics.

Since January 2011, videoconference fracture clinics have been held between the rural Mt Isa Hospital (MIH) and the tertiary referral centre, the Princess Alexandra Hospital in Brisbane, approximately 900 km away. We have examined the activity and costs of the videoconferencing clinics over a 17-month period. During the study period, 27 clinics were held and 21 patient transfers (four of whom were children) were saved. The cost of a transfer was estimated to be $1269 for an adult and $2134 for a child with an accompanying adult. The cost of holding a videoconference fracture clinic was estimated to be $1285 per clinic. During the first 12 months of the study, the savings in avoided transfers were outweighed by the cost of running the clinics. However, in the final 5 months, there were overall savings of $11,334 for the health service. Improvements in the areas of administration and radiology were identified, which could enhance the application of telemedicine in multiple locations in rural and remote areas.