用时间驱动,基于活动的成本计算来确定治疗小脏质量的真实成本
Aaron A Laviana1, Chandan R Kundavaram1, Hung-Jui Tan1,2
1Institute of Urologic Oncology, Department of Urology, David Geffen School of Medicine at University of California, Los Angeles, California.
Urology practice
|August 18, 2023
概括
时间驱动,基于活动的成本计算揭示了小质治疗的显著成本差异. 机器人辅助部分切除术是最昂贵的,而射频切除术是最便宜的,因为它避免了住院治疗.
科学领域:
- 卫生经济学 卫生经济学
- 手术瘤学手术瘤学
- 医疗成本分析 医疗成本分析
背景情况:
- 小小的质呈现复杂的治疗决策.
- 成本效益是医疗保健资源分配的一个关键因素.
- 了解不同治疗方式的财务影响至关重要.
研究的目的:
- 实施和利用时间驱动,基于活动的成本计算 (TDABC) 来比较小质的治疗方法.
- 量化与各种手术和除性干预相关的相对成本.
- 为小质管理提供基于价值的医疗保健决策提供信息.
主要方法:
- 开发了一个过程地图,详细说明了小质的治疗步骤.
- 每单位时间计算资源 (设备,人员,空间) 的容量成本率.
- 通过将容量成本率乘以每一个处理步骤所花费的时间来应用TDABC.
主要成果:
- 机器人辅助腹腔镜部分切除术是最昂贵的治疗方法 (17,841.79美元).
- 由于手术室时间更快,住院时间更短,腹腔镜彻底切除术比开放部分切除术更便宜.
- 射频切除的成本显著降低 (5093.83美元),主要是因为避免了住院费用.
结论:
- TDABC有效地确定了小瘤治疗的显著成本差异.
- 这些发现强调了资源利用在确定治疗成本方面的重要性.
- 这种成本分析为当前医疗环境中的基于价值的考虑提供了有价值的数据.
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