The Economic Justification of Running the Online Medical Care in High Schools 2

Abstract

Introduction: Online Medicare is a method in which parts of a medical process, whether diagnostics, monitoring or treatment itself, will be done by using online services. The website (www.hooshdar.com) is an effort to bring fairness in health to people across the globe using modern methods. We choose psychiatric disorder depression and anxiety to be our focus in phase one. With this system we can search for psychiatric problems of several persons in schools, factories or other organs, and create psychiatric profiles for them. With this system we can find out who needs lab exams, and by feeding the results to the system, we can create a medical and psychiatric profile for each person. I. In order to find out system’s feasibility we need to know the following: II. Is there a large enough demand for the system or not? III. Are the potential users of the system prepared to pay for it? IV. What are the specifications of users who are prepared to pay for the services? Method: We examined the system in three high schools, A state high school in Fardis Karaj ( Lower middle class neighborhood), A state high school in Gohardasht Karaj (above average neighborhood), and A private high school in Gohardasht Karaj (above average neighborhood. We examined the system to find out its economical justification, we found out that each applicant student must pay 7$ for using the system and its benefits for the system to be profitable. The advantages of using the system: i. Free visit by a physician, if needed. ii. Free visit by a psychiatrist, if needed. iii. Fifty percent off in price of lab examination, if needed. Expect in deprived area, the students divided in to two groups: Group one: the ones who participated in using the system and its advantages, every one paid 7$. Group two: the ones who participated in using the system without using the advantages, they paid nothing. In both groups the prevalence of depression and anxiety, and their severity were measured. Results: The severity of depression in two groups show: In the state high schools, not only in Lower middle class neighborhood ,but also in above average neighborhood, need for medical and psychological attendance between the ones who paid for using the system and the ones who did not pay is significant with P value 0.031 < 0.05 & P value 0.005< 0.05.