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A cost-benefit analysis of endoscopy reporting methods: handwritten, dictated and computerized
M J M Groenen1, S Ajodhia, J Y F Wynstra
1Department of Gastroenterology, Ikazia Hospital, Rotterdam, The Netherlands. mgroenen@alysis.nl
Endoscopy
|July 10, 2009
Summary
Computerized endoscopic reporting is initially more expensive but becomes cost-effective within 3 years. After 5 years, all reporting methods (handwritten, dictated, computerized) show comparable costs per procedure.
Area of Science:
- Gastroenterology
- Medical Informatics
- Health Economics
Background:
- Gastrointestinal endoscopy reports are crucial for patient care.
- Traditional report generation methods include handwritten notes and dictation.
- Electronic endoscopic reporting systems offer an alternative.
Purpose of the Study:
- To evaluate and compare the costs associated with three distinct endoscopic report generation methods.
- To analyze the financial implications of handwritten, dictated, and computerized reporting systems.
Main Methods:
- A comparative cost analysis of handwritten, dictated, and computerized endoscopic report production.
- Inclusion of all process costs from patient arrival to report dissemination.
- Consideration of image/video production, equipment logging, disinfection, and data storage expenses.
Main Results:
- Computerized reports incurred higher initial costs (Euro 8.90) compared to dictated (Euro 6.39) and handwritten (Euro 4.78) in the first 5 years.
- After 5 years, costs converged: handwritten (Euro 4.37), dictated (Euro 5.20), and computerized (Euro 5.13).
- A cost-benefit analysis indicated a financial advantage for computerized systems after just 3 years.
Conclusions:
- Electronic endoscopic report generation presents higher upfront costs but comparable long-term expenses.
- Computerized systems demonstrate a positive return on investment within 3 years.
- All analyzed reporting methods achieve similar cost-effectiveness after an initial 5-year period.
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