Garcea N, Russetti D, Campo S, Rossetti A, Volpe M, Candelo V, Pignataro R, Damiani G
Complesso Integrato Columbus, Roma Sezione Autonoma di Ostetricia e Ginecologia.
Minerva Ginecol. 1996 Mar;48(3):77-83.
The large use of new gynaecological technologies such as the operative laparoscopy, requires both efficacy and efficiency evaluation. The aim of this work is to compare costs of the surgical treatment of ovarian cysts between two groups of patients--35 patients undergone to laparotomic cystectomy (age: mean 27.5) and 34 operated by laparoscopic technique (age: mean 27). The analysis of the costs, related to three steps of health care (pre-operative, operative, post-operative) shows that the laparoscopic cystectomy results the more efficient intervention (L. 6,244,808 vs L. 8,310,002). This economic analysis may offer a planning tool for health care to hospital managers and represent an efficiency evaluation criterion of surgical techniques employed by the gynaecologists.
诸如手术腹腔镜检查等新型妇科技术的大量应用,需要对其有效性和效率进行评估。这项工作的目的是比较两组患者卵巢囊肿手术治疗的成本——35例行剖腹囊肿切除术的患者(年龄:平均27.5岁)和34例采用腹腔镜技术手术的患者(年龄:平均27岁)。对与医疗保健三个阶段(术前、术中、术后)相关的成本分析表明,腹腔镜囊肿切除术是更有效的干预措施(6,244,808里拉对8,310,002里拉)。这种经济分析可为医院管理人员提供医疗保健规划工具,并代表妇科医生所采用手术技术的效率评估标准。