Table 1.
Breakdown of costs per treatment for telerehabilitation and home visits.
Cost category | Description | Duration | Professional costacalculation | ||
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TELE | VISIT |
Clinical |
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Direct time |
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Contact with the participant | Hours | Hours x $45.22b | Hours x $45.22 |
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Indirect time |
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Planning the session | Hours | Hours x $45.22 | Hours x $45.22 |
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Follow-up with orthopedic surgeon | Hours | Hours x $45.22 | Hours x $45.22 | |
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Writing the report and follow-up notes | Hours | Hours x $45.22 | Hours x $45.22 | |
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Travel | Hours, km | N/Ac | Hours x $45.22, km x $0.40 |
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Clinical equipment amortization | 16 treatments | $0.63 per treatment ($10/16 treatments) |
$0.63 per treatment ($10/16 treatments) |
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Technology |
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Installation/uninstallation of technology | Travel time (hours) x $22.16d, km x $0.40 |
N/A | ||
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Internet costs (high speed)e | $7.63 per intervention | N/A | ||
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Technical equipment amortizationf | $4.88 per intervention | N/A | ||
Technical problems |
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Technician | Hours x $22.16 | N/A | ||
Physiotherapist | Hours x $45.22 | N/A |
aAll costs are in Canadian dollars.
bPhysiotherapist mean hourly salary in the public system in Quebec.
cNot applicable (N/A).
dThe hourly rate at the higher echelon of the salary scale of a technician.
eCost for 2 months (16 sessions): $122.08/16 sessions = $7.63 per session.
fCost for 1 clinician kit ($5760) and 1 patient kit ($7200) amortized over 3 years based on 50% of usage per week (17 hours): $5760 + $7200 = $12,960. Hours telerehabilitation: 3 years x 52 weeks/year x 17 hours (50% usage)/week = 2652 hours. Cost per treatment: $12,960/2652 hours = $4.88.