评估关节置换术的医院成本。
Assessing hospital cost of joint arthroplasty.
作者信息
Boniforti Filippo
机构信息
UO Ortopedia e Traumatologia, Fondazione San Raffaele Giglio, Cefalù, Italy.
出版信息
Joints. 2016 Jan 31;3(4):186-90. doi: 10.11138/jts/2015.3.4.186. eCollection 2015 Oct-Dec.
PURPOSE
total joint replacement is one of the most successful procedures in medicine and cost reimbursements to hospitals for the joint arthroplasty diagnosis-related group are among the largest payments made by a Regional Health Service. Despite the popularity of these procedures, there are few high-quality cost-effectiveness studies on this topic. This study evaluates the cost of total joint arthroplasty performed in a district hospital.
METHODS
direct and indirect costs have been measured and patient procedure pathway was analyzed subdivided into three stages: surgical procedure, inpatient care and outpatient clinic.
RESULTS
the cost of the surgical procedure stage was calculated as 3,798 euros, while that of the inpatient stage was 2,924 euros. The mean hospital costs per procedure amounted to 6,952 euros.
CONCLUSIONS
although the Health Service tariffs fully reimburse the cost of providing a joint replacement, our data contribute to point out the role of hospital staff's organization to support sustainable improvements on health care for joint replacement surgery.
LEVEL OF EVIDENCE
Level VI, single economic evaluation.
目的
全关节置换术是医学上最成功的手术之一，地区卫生服务机构对关节置换术诊断相关组向医院支付的费用是最大的支付款项之一。尽管这些手术很受欢迎，但关于这个主题的高质量成本效益研究却很少。本研究评估了一家区级医院进行全关节置换术的成本。
方法
测量了直接和间接成本，并将患者手术流程细分为三个阶段进行分析：手术过程、住院护理和门诊。
结果
手术阶段的成本计算为3798欧元，住院阶段的成本为2924欧元。每个手术的平均医院成本为6952欧元。
结论
尽管卫生服务收费标准全额报销了提供关节置换的成本，但我们的数据有助于指出医院工作人员组织在支持关节置换手术医疗保健可持续改善方面的作用。
证据水平
VI级，单一经济评估。
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