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Related Experiment Videos

Physician-generated cost containment in transurethral prostatectomy.

W M Sage1, R Kessler, L S Sommers

  • 1Division of Diagnostic Radiology (Radiology), Stanford University School of Medicine, California.

The Journal of Urology
|August 1, 1988
PubMed
Summary

Physicians can voluntarily reduce healthcare costs for procedures like transurethral prostatectomy without impacting care quality. Sharing practice variations and promoting cost-aware decision-making led to significant savings in hospital stays and charges.

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Area of Science:

  • Urology
  • Health Economics
  • Healthcare Management

Background:

  • Healthcare costs are a significant concern, often addressed through external mandates.
  • Physician-led cost containment initiatives can be effective without compromising patient care quality.
  • Transurethral prostatectomy is a common procedure with potential for cost optimization.

Purpose of the Study:

  • To assess the impact of voluntary, physician-driven cost containment strategies on hospital resource utilization and charges for transurethral prostatectomy.
  • To evaluate whether sharing practice variations and discussing optimal scientific practices can lead to reduced healthcare costs.
  • To determine if such initiatives can be implemented without sacrificing the quality of care.

Main Methods:

  • A 16-month intervention involving 5 meetings with a urology division to discuss practice variations and cost-effective strategies.

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  • Encouraging surgeons to individually apply cost-related knowledge without strict guidelines.
  • Measuring resource use, including preoperative and postoperative length of stay, ordering practices, and total hospital charges, before, during, and after the intervention for 356 transurethral prostatectomies.

    • Main Results:

    • Significant decreases were observed in preoperative and postoperative length of stay.
    • Reductions in specific ordering practices and overall total hospital charges were noted.
    • Variations in practice and resource use were identified between university faculty and community urologists, as well as among individual surgeons.

    Conclusions:

    • Voluntary, physician-led cost management initiatives can successfully reduce hospital costs for procedures like transurethral prostatectomy.
    • Sharing knowledge and encouraging individual application of cost-saving principles are effective strategies.
    • Further exploration of scientific cost management in prostatectomy is warranted, considering practice variations.