کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3268568 1208093 2015 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Cost variation in a laparoscopic cholecystectomy and the association with outcomes across a single health system: implications for standardization and improved resource utilization
ترجمه فارسی عنوان
تنوع هزینه در یک کولسیستکتومی لاپاروسکوپی و ارتباط با نتایج در یک سیستم بهداشتی واحد: پیامدهای استاندارد سازی و بهبود استفاده از منابع
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی غدد درون ریز، دیابت و متابولیسم
چکیده انگلیسی

BackgroundPayers and regulatory bodies are increasingly placing emphasis on cost containment, quality/outcome measurement and transparent reporting. Significant cost variation occurs in many operative procedures without a clear relationship with outcomes. Clear cost‐benefit associations will be necessary to justify expenditures in the era of bundled payment structures.MethodsAll laparoscopic cholecystectomies (LCCKs) performed within a single health system over a 1‐year period were analysed for operating room (OR) supply cost. The cost was correlated with American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) outcomes.ResultsFrom July 2013 to June 2014, 2178 LCCKs were performed by 55 surgeons at seven hospitals. The median case OR supply cost was $513 ± 156. There was variation in cost between individual surgeons and within an individual surgeon's practice. There was no correlation between cost and ACS NSQIP outcomes. The majority of cost variation was explained by selection of trocar and clip applier constructs.ConclusionsSignificant case OR cost variation is present in LCCK across a single health system, and there is no clear association between increased cost and NSQIP outcomes. Placed within the larger context of overall cost, the opportunity exists for improved resource utilization with no obvious risk for a reduction in the quality of care.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: HPB - Volume 17, Issue 12, December 2015, Pages 1113–1118
نویسندگان
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