Department of Cardiovascular Sciences, Kaholieke Universiteit Leuven, Leuven, Belgium.
Department of Cardiovascular Medicine, University Hospitals Leuven (UZ Leuven), Leuven Belgium.
Acta Cardiol. 2024 Feb;79(1):41-45. doi: 10.1080/00015385.2023.2281105. Epub 2023 Nov 14.
Coronary angiography (CA) is an increasing diagnostic procedure in Belgium. The aim of this analysis was to look at the financial aspects of CA in a large tertiary Belgium hospital to establish if current reimbursement is appropriate. For the analysis of costs we considered the use of the catheterisation laboratory, personnel costs and material costs during multiple weekly periods in the spring of 2023. We calculated that one cathlab needs to perform 8.21 CA's to equal incomes with costs. To allow for a small positive income (200€) for the hospital/cardiologist 9 procedures per cathlab day are required. Our hospital performs a 7 (mean) ± 0.75 (standard deviation) of CA's per cathlab day and therefore does not reach this financial break-even point. Our calculations are on the safe side, since coronary physiological interrogation with fractional flow reserve (FFR) was excluded from this analysis. Nevertheless, this is a cost-effective technique for which no extra reimbursement is foreseen in the current Belgium system.
冠状动脉造影术（CA）在比利时是一项日益普及的诊断程序。本分析旨在研究比利时一家大型三级医院 CA 的财务方面，以确定当前的报销是否合理。在分析成本时，我们考虑了在 2023 年春季的多个每周期间内导管实验室的使用、人员成本和材料成本。我们计算出一个导管实验室需要进行 8.21 次 CA 才能与成本持平。为了使医院/心脏病专家有少量正收入（200 欧元），每个导管实验室日需要进行 9 次 CA。我们医院每个导管实验室日进行 7（平均值）±0.75（标准差）次 CA，因此未达到这一财务收支平衡点。我们的计算是安全的，因为本分析排除了冠状动脉血流储备分数（FFR）的冠状动脉生理学检查。然而，这是一种具有成本效益的技术，目前比利时系统没有为此预提额外报销。
