Department of Surgery, 8138Westchester Medical Center, New York Medical College, Valhalla, NY, USA.
Operation Giving Back Bohol, USA.
Am Surg. 2022 Jul;88(7):1680-1688. doi: 10.1177/0003134821998683. Epub 2021 Feb 26.
The aim of this study was to comparatively evaluate the sustainability and cost-benefit of the Operation Giving Back Bohol surgical volunteerism mission (SVM) carried out in Bohol Province, Philippines, over twelve consecutive missions.
This was a cost-benefit analysis of prospectively collected financial data from twelve consecutive surgical volunteerism missions held between 2006 and 2018. The overall cost of an SVM and cost per patient were the endpoints of interest. Disability-adjusted life years (DALYs) and costs thereof were calculated for each patient undergoing surgery in the twelve SVMs.
A mean of 112 ± 22 patients were included per year of the SVM. A statistically significant increasing trend in the overall cost of SVMs over time was found ( = .469; = .014). A nonsignificant decreasing trend in the cost per patient over time was found ( = .007; = .795). A total of 8811.71 DALYs were averted in the twelve SVMs. DALYs averted per year ranged between 474.02 (2009) and 969.16 (2012). Cost per a DALY averted ranged between $466.9 (2006) and $865.6 (2009). Comparison of the latter with GDP per capita showed that this SVM was "very cost-effective."
The SVM contributes substantially to the health care system both clinically and financially. A total of 8812 DALYs were averted in these twelve SVMs. Costs per a DALY averted did not significantly change over the mission years. Increasing the number of patients served has increased the total cost of the mission with no impact on the cost per patient.
本研究旨在比较评价在菲律宾薄荷省开展的为期 12 年的 Operation Giving Back Bohol 手术志愿团（SVM）的可持续性和成本效益。
这是对 2006 年至 2018 年期间连续 12 次手术志愿团活动中前瞻性收集的财务数据进行的成本效益分析。SVM 的总费用和每位患者的费用是本研究的关注终点。对 12 次 SVM 中接受手术的每位患者的伤残调整生命年（DALY）及其费用进行了计算。
每年平均有 112 ± 22 名患者参加 SVM。随着时间的推移，SVM 的总费用呈显著上升趋势（ =.469； =.014）。随着时间的推移，每位患者的费用呈非显著下降趋势（ =.007； =.795）。12 次 SVM 共避免了 8811.71 个 DALY。每年避免的 DALY 范围在 474.02（2009 年）至 969.16（2012 年）之间。每避免一个 DALY 的成本在 2006 年为 466.9 美元至 2009 年为 865.6 美元之间。与人均 GDP 相比，后者表明该 SVM 非常具有成本效益。
SVM 在临床和财务方面都为医疗保健系统做出了重大贡献。这 12 次 SVM 共避免了 8812 个 DALY。每避免一个 DALY 的成本在任务年中没有显著变化。增加服务的患者人数增加了任务的总成本，但对每位患者的成本没有影响。
