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Cost analysis. Bedside blood glucose testing.

R M Greendyke1

  • 1Laboratory Service, Department of Veterans Affairs Medical Center, Canandaigua, New York 14424.

American Journal of Clinical Pathology
|January 1, 1992
PubMed
Summary
This summary is machine-generated.

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Bedside blood glucose testing is significantly more expensive than lab tests. This program costs Veterans Affairs hospitals over $3 million annually due to higher per-test expenses.

Area of Science:

  • Clinical Chemistry
  • Health Economics
  • Healthcare Management

Background:

  • Point-of-care testing, such as bedside blood glucose monitoring, is increasingly utilized in healthcare settings.
  • Evaluating the cost-effectiveness of different diagnostic methods is crucial for resource allocation in healthcare systems.

Purpose of the Study:

  • To conduct a cost analysis of a bedside blood glucose testing program.
  • To compare the per-test cost of bedside glucose testing with conventional laboratory serum glucose testing.
  • To estimate the extrapolated annual cost implications for the Veterans Affairs hospital system.

Main Methods:

  • A cost analysis was performed on a bedside blood glucose testing program at a Veterans Affairs medical center.
  • Per-test costs for bedside testing were calculated.

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  • Conventional laboratory serum glucose testing costs were used as a benchmark.
  • Costs were extrapolated to all Veterans Affairs hospitals.

    • Main Results:

    • The per-test cost for bedside blood glucose testing was determined to be $11.50.
    • The cost for conventional laboratory serum glucose testing was $3.19 per test.
    • Extrapolation to 172 Veterans Affairs hospitals indicated an additional annual cost exceeding $3 million.

    Conclusions:

    • Bedside blood glucose testing programs represent a significantly higher cost per test compared to laboratory-based serum glucose testing.
    • The widespread implementation of bedside glucose testing in Veterans Affairs hospitals incurs substantial additional annual expenses.
    • Further economic evaluation is warranted to assess the overall value and optimize resource utilization for glucose monitoring strategies.