Healthcare Administration, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, 47014 Meldola, Italy.
Management and Accounting Unit, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, 47014 Meldola, Italy.
Int J Environ Res Public Health. 2020 Jul 2;17(13):4765. doi: 10.3390/ijerph17134765.
In view of an efficient use of the Italian National Health Service-funded healthcare resources, a novel data-processing strategy combining information from multiple sources was developed in a regional cancer network of northern Italy. The goal was to calculate the annual overall cost of care pathways of six disease groups in 10,486 patients. The evaluation was conceived as a population-based cost description from the perspective of the Italian National Health Service. Costs occurred during a defined time period for a cross-section of patients at varying stages of their disease were measured. The total cancer care cost was €81,170,121 (11.1% of total local health expenditure), with a cost per patient of €7741.17 and a cost per capita of €204.62. Surgical, inpatient and day-hospital medical admissions, radiotherapy, drugs, outpatient care, emergency admissions, and home and hospice care accounted for 21.2%, 24.1%, 6.2%, 28.2%, 14.0%, 0.9%, and 5.4% of the total cost, respectively. The highest cost items included drugs (cost per capita, €22.95; 11.2% of total cost) and medical admissions (€14.51; 7.1%) for blood cancer, and surgical (€14.56; 7.1%) and medical admissions (€13.60; 6.6%) for gastrointestinal cancer. The information extracted allows multidisciplinary cancer care teams to be more aware of the costs of their clinical decisions.
为了更有效地利用意大利国家卫生服务体系资助的医疗资源，意大利北部一个地区癌症网络开发了一种新的数据处理策略，结合了来自多个来源的信息。目标是计算六个疾病组的 10486 名患者的年度总护理路径成本。该评估是从意大利国家卫生服务体系的角度对基于人群的成本进行描述。评估期间，对处于不同疾病阶段的患者的一个横断面进行了一段时间的成本测量。癌症总护理费用为 8117.0121 万欧元（占当地卫生总支出的 11.1%），每位患者的费用为 7741.17 欧元，人均费用为 204.62 欧元。手术、住院和日间医院医疗入院、放疗、药物、门诊护理、急诊入院、家庭和临终关怀护理分别占总费用的 21.2%、24.1%、6.2%、28.2%、14.0%、0.9%和 5.4%。最高的费用项目包括药物（人均费用 22.95 欧元；占总费用的 11.2%）和血液癌的医疗入院（人均费用 14.51 欧元；占 7.1%），以及胃肠道癌的手术（人均费用 14.56 欧元；占 7.1%）和医疗入院（人均费用 13.60 欧元；占 6.6%）。提取的信息使多学科癌症护理团队能够更好地了解其临床决策的成本。
