与光纤和数字柔性尿道镜相关的综合性成本在一个大批量教学医院
Michael S Borofsky1, Casey A Dauw1, Nadya E York1
1Department of Urology, Indiana University School of Medicine, Indianapolis, Indiana.
Urology practice
|August 18, 2023
概括
数字柔性尿管望远镜比光纤模型更昂贵,主要是因为维修成本更高. 尽管损坏率相似,但数字视野对每次使用的总体开支更高.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗器械技术 医疗器械技术
- 医疗保健经济学 医疗经济学
背景情况:
- 灵活的尿道镜所有权涉及远远超过最初购买的重大成本.
- 以前的成本分析往往忽略了采购和再加工,主要关注维修.
- 与传统光纤模型相比,较新的数字柔性尿道镜的成本效益需要详细检查.
研究的目的:
- 综合分析现代灵活尿路透镜的所有权成本.
- 为了比较与数字与光纤柔性尿道镜相关的总成本.
- 确定灵活尿道镜使用的主要成本驱动因素.
主要方法:
- 对Storz Flex-X2 (光纤) 和Flex-Xc (数字) 尿道镜 (2011-2015) 的使用和维修数据进行了审查.
- 从制造商那里获得清单价格和维修成本.
- 估计每例再加工成本,包括一次性物品,试剂和劳动力.
- 计算的整体成本,考虑收购,维修和维护在前100次使用.
主要成果:
- 数字柔性尿管镜的每例所有权成本比光纤模型高1.3至1.4倍.
- 视野维修是最大的支出 (71-73%),其次是购买 (23-24%) 和再加工 (4-5%).
- 数字和光纤尿管镜之间的修复率在统计学上是相似的 (11.5对12.5,p=0.757).
结论:
- 灵活的尿道镜拥有成本很高,主要是由于高维修费用.
- 数字柔性尿管镜比光纤模型更昂贵,比光纤模型更昂贵.
- 数字视野镜的更高成本仍然存在,即使损坏和维修率相似.
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