Damonti A, Ferrario L, Morelli P, Mussi M, Patregnani C, Garagiola E, Foglia E, Pagani R, Carminati R, Porazzi E
Carlo Cattaneo University, LIUC, Centre for Research on Health Economics, Social and Health Care Management, CREMS, Castellanza, Italy;
Public Hospital of Novi Ligure, Italy;
J Prev Med Hyg. 2015;56(4):E155-61.
The objective of this paper is the comparison between two different technologies used for the removal of a uterine myoma, a frequent benign tumor: the standard technology currently used, laparoscopy, and an innovative one, colpoceliotomy. It was considered relevant to evaluate the real and the potential effects of the two technologies implementation and, in addition, the consequences that the introduction or exclusion of the innovative technology would have for both the National Health System (NHS) and the entire community.
The comparison between these two different technologies, the standard and the innovative one, was conducted using a Health Technology Assessment (HTA). In particular, in order to analyse their differences, a multi-dimensional approach was considered: effectiveness, costs and budget impact analysis data were collected, applying different instruments, such as the Activity Based Costing methodology (ABC), the Cost-Effectiveness Analysis (CEA) and the Budget Impact Analysis (BIA). Organisational, equity and social impact were also evaluated.
The results showed that the introduction of colpoceliotomy would provide significant economic savings to the Regional and National Health Service; in particular, a saving of € 453.27 for each surgical procedure.
The introduction of the innovative technology, colpoceliotomy, could be considered a valuable tool; one offering many advantages related to less invasiveness and a shorter surgical procedure than the standard technology currently used (laparoscopy).
本文的目的是比较用于切除子宫平滑肌瘤（一种常见的良性肿瘤）的两种不同技术：目前使用的标准技术腹腔镜检查和一种创新技术阴道剖腹术。评估这两种技术实施的实际和潜在效果，以及引入或排除创新技术对国家卫生系统（NHS）和整个社区的影响被认为是相关的。
使用卫生技术评估（HTA）对这两种不同技术（标准技术和创新技术）进行比较。特别是，为了分析它们的差异，采用了多维度方法：收集有效性、成本和预算影响分析数据，应用不同的工具，如作业成本法（ABC）、成本效益分析（CEA）和预算影响分析（BIA）。还评估了组织、公平性和社会影响。
结果表明，引入阴道剖腹术将为地区和国家卫生服务带来显著的经济节省；特别是，每次手术可节省453.27欧元。
引入创新技术阴道剖腹术可被视为一种有价值的工具；与目前使用的标准技术（腹腔镜检查）相比，它具有许多优势，如侵入性更小、手术时间更短。
