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Related Experiment Videos

[Analysis of hemodynamics costs. A multicenter study based on consumed resources]

M Alonso Gutiérrez1, J Tascón Pérez, J Andreu Dussac

  • 1Servicio de Cardiología-Hemodinámica, Hospital 12 de Octubre, Madrid.

Revista Espanola De Cardiologia
|April 1, 1995
PubMed
Summary

The cost of cardiac catheterization in Spain is high, primarily due to disposable materials, despite low public hospital labor costs. Significant variations in procedure costs and resource use exist between hospitals, highlighting the need for improved protocols and management.

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Area of Science:

  • Cardiovascular Medicine
  • Health Economics
  • Hospital Management

Background:

  • Cardiac catheterization is a crucial diagnostic and therapeutic procedure.
  • Understanding the true cost of these procedures is essential for resource allocation and efficiency.
  • Variability in healthcare costs can impact patient access and hospital budgets.

Purpose of the Study:

  • To determine the direct and total imputation costs of hemodynamic explorations in Spain.
  • To analyze the variability in costs and resource consumption among Spanish hospitals.
  • To identify key cost drivers in diagnostic and therapeutic cardiac catheterizations.

Main Methods:

  • Analysis of duration, resources, and disposables used in 762 diagnostic catheterizations, 217 therapeutic coronarographies, and 32 Inoue mitral valvotomies.

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  • Data collected from four public Spanish hospitals.
  • Direct costs calculated from bills and wages; indirect costs from judgments and amortization over ten years.

    • Main Results:

    • Final costs: 106,879 pesetas (diagnostic catheterization), 545,614 pesetas (therapeutic coronarography), 556,315 pesetas (mitral Inoue valvotomy).
    • Significant variations observed in consumption and manpower costs between hospitals.
    • Disposable materials constitute up to 85% of total costs for therapeutic procedures.

    Conclusions:

    • High catheterization costs in Spain are driven by disposable materials, not manpower.
    • Significant inter-hospital cost and consumption differences indicate a need for protocol optimization.
    • Variations in indirect costs suggest differing levels of hospital management system implementation.