Anzeige des vollständigen DOI-Metadaten-Sets
DIESE DOI-METADATEN WURDEN ZULETZT AKTUALISIERT AM: 2025-02-18 10:31
Cite as
-
Vollständiger Titel
MECOSAN
-
Verlag
FrancoAngeli
-
ISSN
1121-6921 (Gedruckte Zeitschrift)
2384-8804 (Online-Zeitschrift)
-
Nummer der Ausgabe
129
-
Andere Beschreibung der Ausgabe
129
-
Erscheinungsdatum der Ausgabe
2024
-
Vollständiger Titel
Cost and Benefit Analysis of Surgeon-performed Point-of-Care Ultrasound (SP-POCUS) supporting decision making in a General Surgery Department
-
Von (Autor)
-
Erste Seite
25
-
Letzte Seite
40
-
Sprache des Textes
Englisch
-
Erscheinungsdatum
2025/02
-
Copyright
2024 FrancoAngeli srl
Abstract/Hauptbeschreibung
Background: There still is reluctance among surgeons when it comes to using bedside US in their daily clinical practice, except for very specific fields.Generally, the decision-making process relies on imaging techniques (e.g. CT, MRI). This may lead to a latency of execution, and consequently to a delay in decision making.Objectives: The purpose of this study is to assess the economic impact of systematic and routine use of surgeon-performed point-of-care US (SP-POCUS) in the everyday activities of a surgical department, both for urgent and elective cases.Methods: We conducted a cost-benefit analysis comparing the incremental costs and savings of diagnostic strategies based on alternative procedures to bedside US. The dataset refers to 478 SP-POCUS performed at the General Surgery Department of Policlinico San Pietro (Bergamo, Italy) between January 2018 and February 2020. The alternatives to SP-POCUS were computed tomography (CT), X-ray (RX), magnetic resonance imaging (MRI), and US performed by the Radiologist.Per-exam costs, including personnel time expenditure, were calculated.Results: The economic evaluation revealed that the use of SP-POCUS allowed the hospital to generate €355 net savings per patient, mainly from avoided hospitalizations, fewer hospital days and hours of operating room.Extrapolating these results to a wider scenario, in a similar setting they could have represented a potential annual savings of more than €1.1 million for the Regional healthcare system in Lombardy, and more than €5.7 millions for the whole NHS in Italy.Conclusions: We provided evidence that SP-POCUS may generate important costs savings for health care providers, as it represents the most cost-effective initial diagnostic procedure compared to standard alternatives.The wide applicability of SP-POCUS could be obtained at rather negligible costs for investment in staff training.
Zitierungen des
10.3280/mesa2024-129oa18722
Unstructured Zitierung
Zago M., Biloslavo A., Mariani D., Pestalozza M.A., Poillucci G., Bellio G. (2021). Surgeon-performed ultrasound for the staging
of acute diverticulitis. J Trauma Acute Care Surg., 91: 393-398.
https://doi.org/10.1097/TA.0000000000003229
Unstructured Zitierung
Leopold G.R., Asher W. M. (1974). Ultrasound in obstetrics and gynecology. Radiol Clin North Am., 12(1): 127-46.
Unstructured Zitierung
Ippolito A., Boni S., Cinque E., Greco A., Salis S. (2016). Using Time-Driven Activity-Based Costing to Establish a Tariff
System for Home Health Care Services. Journal Healthc Manag., 61(6): 436-447.
https://doi.org/10.1097/00115514-201611000-00009
Unstructured Zitierung
Italian Statistical Yearbook. [Online] 2019. -- https://www.istat.it/it/files/2019/12/Asi-2019.pdf.
Unstructured Zitierung
System of Health Account. [Online] 2019. -- http://dati.istat.it/OECDStat_Metadata/ShowMetadata.ashx?Dataset=DCCN_SHA&-
Unstructured Zitierung
ShowOnWeb=true&Lang=it.
Unstructured Zitierung
The National technical commission: department of minimally-invasive surgery and device. People’s Court of Justice for the Right to Health. -- http://www.cortegiustiziapopolare.it/docs/639/dipartimento-chirurgia-mini-invasiva-device.pdf.
Unstructured Zitierung
Annual Report on the activity of hospitalization. SDO data. [Online] 2017. -- http://www.salute.gov.it/imgs/C_17_pubblicazioni_2831_allegato.pdf.
Unstructured Zitierung
Rates of hospital assistance services for acute by type of inpatient. Lombardy region. [Online] -- https://www.trovanorme.salute.gov.it/norme/renderPdf.spring?seriegu=SG&datagu=28/01/2013&redaz=13A00528&artp=1&art=1&subart=1&subart1=10&vers=1&prog=001.
Unstructured Zitierung
Independent Imaging. [Online] -- https://www.independentimaging.com/benefits-of-getting-an-ultrasound/.
Unstructured Zitierung
Tariff of services for hospitalizations, Lombardy region. [Online] 2015. -- https://www.regione.lombardia.it/wps/wcm/connect/6d653816-5bb2-4a1a-8c69e923c29cd125/Tarrifario+delle+prestazioni+di+ricovero+ospedaliero.pdf ?MOD=AJPERES&-CACHEID=ROOTWORKSPACE-6d653816-5bb2-4a1a-8c69-e923c29cd125-mi9fKCM.