Lipscomb G H, Dell J R, Ling F W, Spellman J R
Department of Obstetrics and Gynecology, Memphis, TN 38163, USA.
J Am Assoc Gynecol Laparosc. 1996 Feb;3(2):277-81. doi: 10.1016/s1074-3804(96)80013-2.
To compare the charges between laparoscopic sterilization performed under either local or general anesthesia in a traditional operating room setting with anesthesia personnel in attendance.
A retrospective review of charges.
The Regional Medical Center, Memphis, Tennessee.
Sixty-five women undergoing laparoscopic sterilization, 33 under local and 32 under general anesthesia. Interventions. Laparoscopic sterilization.
Patient demographics, history of pelvic inflammatory disease, and history of previous surgery were similar for both groups. Operating room and recovery room times were shorter for patients whose procedures were performed under local anesthesia. Flat-rate fee schedules reduced the cost savings for cases performed under local anesthesia to $529 dollars per case, with 76% ($402) of the savings related to anesthetic drugs or equipment.
Although these savings appear minimal on a per case basis, if 50% of the approximately 210,000 laparoscopic sterilizations performed in the United States each year were performed under local anesthesia, a savings of over $55 million could be achieved (105,000 cases X $529 = $55,545,000). This would result in substantial overall monetary savings to the health care system.
比较在传统手术室环境下，由麻醉人员在场实施的局部麻醉或全身麻醉腹腔镜绝育术的费用。
费用回顾性研究。
田纳西州孟菲斯市地区医疗中心。
65名接受腹腔镜绝育术的女性，33名接受局部麻醉，32名接受全身麻醉。干预措施：腹腔镜绝育术。
两组患者的人口统计学特征、盆腔炎病史及既往手术史相似。局部麻醉患者的手术室和恢复室时间较短。统一收费标准使局部麻醉手术的成本节约降至每例529美元，其中76%（402美元）的节约与麻醉药物或设备有关。
尽管每例节约的费用似乎很少，但如果美国每年约210,000例腹腔镜绝育术中50%采用局部麻醉，可节约超过5500万美元（105,000例×529美元 = 55,545,000美元）。这将为医疗保健系统带来可观的总体资金节约。
