Cost analysis of total knee arthroplasty surgeries in Turkey.

IF 0.5 4区 医学 Q4 ORTHOPEDICS Acta orthopaedica Belgica Pub Date : 2024-06-01 DOI:10.52628/90.2.9783
H F Sevinç
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Abstract

Background and study aims: While working with increasing costs, hospital enterprises try to develop strategies to provide high quality services. In this study, we intended to perform the cost analysis of total knee arthroplasty.

Materials and methods: A total of 503 patients who were treated with total knee arthroplasty surgery due to gonarthrosis at Nevşehir State Hospital Orthopedics and Traumatology clinic were included in the study. Procedures performed while the patient is in hospital were analyzed by dividing them into the costs of the implant applied to the patient, surgical procedure, medications used, blood and blood products transfusion, medical tests, anesthesia procedure, bed fee and other applied procedures.

Results: The mean total cost was 7560.2 Turkish Lira (TL). The mean cost of the implant applied to the patient was 4847.7 TL, that of surgical procedure was 1800 TL, medications used 371.1 TL, blood and blood products transfusion 38.7 TL, medical tests 38.3 TL, anesthesia procedures 142.7 TL, bed fee 195.2 TL and other applied procedures 122.9 TL.

Conclusion: In the cost analyses made in this study, it is observed that the share of implant, surgical procedure and anesthesia costs within the total cost is approximately 90%. It is not possible to cut back on the producedures in this 90% part and to modify them. To reduce the total cost, it seems most reasonable to focus on the costs of blood and blood products transfusion, medical tests, medications used and bed fees.

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土耳其全膝关节置换手术的成本分析。
背景和研究目的:在成本不断增加的情况下,医院企业努力制定策略以提供高质量的服务。在本研究中,我们打算对全膝关节置换术进行成本分析:共有 503 名因膝关节病在内夫谢希尔国立医院骨科和创伤诊所接受全膝关节置换手术治疗的患者被纳入研究范围。对患者住院期间所进行的手术进行了分析,将其分为应用于患者的植入物费用、手术费用、用药费用、输血和血制品费用、医疗检查费用、麻醉费用、床位费和其他应用程序费用:平均总费用为 7560.2 土耳其里拉(TL)。结果:平均总费用为 7560.2 土耳其里拉(TL),其中植入物的平均费用为 4847.7 土耳其里拉,手术费用为 1800 土耳其里拉,药物费用为 371.1 土耳其里拉,输血和血液制品费用为 38.7 土耳其里拉,医疗检查费用为 38.3 土耳其里拉,麻醉费用为 142.7 土耳其里拉,床位费为 195.2 土耳其里拉,其他费用为 122.9 土耳其里拉:本研究的成本分析显示,植入物、外科手术和麻醉费用约占总成本的 90%。在这 90% 的费用中,不可能削减或修改生产成本。要降低总成本,最合理的做法似乎是将重点放在输血和血制品、医疗检查、用药和床位费上。
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来源期刊
Acta orthopaedica Belgica
Acta orthopaedica Belgica 医学-整形外科
CiteScore
0.70
自引率
0.00%
发文量
58
审稿时长
4-8 weeks
期刊介绍: Information not localized
期刊最新文献
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