Wood Dorian S, Watson Shawna L, Eckel Tara M, Peters Paul C, Kitziger Kurt J, Gladnick Brian P
Baylor Univeristy Medical Center, Department of Orthopaedic Surgery, 3500 Gaston Ave, Dallas, TX, 75246, USA.
W.B. Carrell Memorial Clinic, Adult Hip and Knee Reconstruction, 9301 N. Central Expressway, Suite 500, Dallas, TX, 75231, USA.
J Orthop. 2021 Mar 11;24:212-215. doi: 10.1016/j.jor.2021.03.002. eCollection 2021 Mar-Apr.
Comparing total joint arthroplasty (TJA) costs and patient-reported outcomes between a physician-owned hospital (POH) and a non-POH.
Costs for each 90-day TJA episode at both facilities were determined, and patients were asked to complete a patient satisfaction questionnaire.
Average TJA episode cost was $19,039 at the POH, compared to $21,302 at the non-POH, a difference of $2,263 ( = 0.03), largely driven by decreased skilled nursing facility utilization in the POH group. There were no differences between groups for patient satisfaction.
TJA can be performed at reduced cost with comparable patient satisfaction at POHs, compared to non-POH facilities.
比较在医生拥有的医院（POH）和非医生拥有的医院中全关节置换术（TJA）的成本及患者报告的结局。
确定两家机构中每例90天TJA疗程的成本，并要求患者完成一份患者满意度调查问卷。
POH的平均TJA疗程成本为19,039美元，而非POH为21,302美元，相差2,263美元（P = 0.03），这主要是由于POH组熟练护理机构利用率降低所致。两组在患者满意度方面无差异。
与非POH机构相比，在POH中进行TJA可以降低成本，同时患者满意度相当。
