Hospital Metropolitano de Santiago, Autopista Juan Pablo Duarte Km 28, Santiago De Los Caballeros, 51000 Santiago, República Dominicana.
Escuela de medicina, Facultad Ciencias de la Salud, Pontificia Universidad Católica Madre y Maestra, Santiago de los Caballeros, Santiago, República Dominicana.
Value Health Reg Issues. 2024 Jul;42:100988. doi: 10.1016/j.vhri.2024.100988. Epub 2024 May 2.
This study aimed to assess direct costs of percutaneous coronary intervention (PCI) without hospital admission versus PCI with hospital admission longer than 24 hours in a private hospital-institutional perspective in the Dominican Republic in 2022.
This study has a comparative approach based on a prospective cross-sectional partial-cost analysis. We evaluated the direct costs of 10 patients from PCI without hospital admission approach and 10 patients from a hospital admission longer than 24 hours as a control group. We used a "first-come-first-served" approach from December 2021 to March 2022. The analysis used the electronic invoice generated for each patient.
PCI without hospital admission approach represents $472.56 in patient savings, equivalent to a cost reduction of 12.5%. The subcosts analysis showed the pharmacy section as the main driver of the overall cost difference.
PCI without hospital admission was economically cost-saving compared with the control approach in direct costs in the Dominican perspective. The economic benefit is substantial and compliments the ease of use. This analysis may lead to improvements in institutional management of resources and can potentially be adapted to other health systems in the region.
本研究旨在从多米尼加共和国私立医院的机构角度出发，评估 2022 年经皮冠状动脉介入治疗（PCI）不入院与住院时间超过 24 小时的 PCI 的直接成本。
本研究采用基于前瞻性横断面部分成本分析的比较方法。我们评估了 10 例不入院 PCI 患者和 10 例作为对照组的住院时间超过 24 小时的患者的直接成本。我们采用了 2021 年 12 月至 2022 年 3 月的“先到先得”方法。分析使用为每位患者生成的电子发票。
不入院 PCI 方法可使每位患者节省 472.56 美元，相当于成本降低 12.5%。亚成本分析显示，药房部分是造成总体成本差异的主要原因。
与对照组相比，不入院 PCI 在多米尼加视角的直接成本方面具有经济成本节约效益。经济效益显著，且使用方便。该分析可能会改善机构资源管理，并可能适用于该地区的其他卫生系统。
