支持管理决策:通过基于价值的医疗保健框架的基于时间的活动成本计算来比较新的机器人平台
Stefano Landi1, Gianluca Maistri2, Luca Piubello Orsini2
1Department of Management, University of Verona, Via Cantarane 24, Verona, 37129, Italy. stefano.landi@univr.it.
BMC health services research
|March 29, 2025
概括
使用基于时间驱动的基于活动的成本计算 (TDABC) 的微成本计算揭示了Hugo机器人系统对于激进的前列腺切除术比达芬奇更具成本效益,突出了基于价值的医疗保健决策.
科学领域:
- 卫生经济学 卫生经济学
- 手术技术 手术技术
- 管理科学 管理科学
背景情况:
- 机器人平台需要基于价值的决策来实现.
- 微成本计算方法支持基于价值的医疗保健 (VBHC) 决策.
- 评估新的机器人平台需要强大的成本效益分析.
研究的目的:
- 为了比较使用微成本计算的da Vinci和Hugo机器人系统的机器人辅助激进前列腺切除术 (RARP) 的成本.
- 确定影响机器人手术经济学的成本驱动因素和敏感参数.
- 在VBHC框架内,为采用机器人平台的管理决策提供信息.
主要方法:
- 基于时间驱动的基于活动的成本计算 (TDABC) 应用于RARP程序.
- 对达芬奇和雨果系统的成本数据是从连续患者收集的.
- 进行了成本和敏感性分析,以确定关键的成本参数.
主要成果:
- 达芬奇系统的RARP总成本 (4,977.21欧元) 比雨果系统 (3,511.73欧元) 高.
- 除了手术套件成本外,达芬奇的价格比雨果 (€1,926.18) 便宜 (€1,481.18) .
- 手术套件成本,持续时间和平台成本是最敏感的参数.
结论:
- 微成本计算对于VBHC的管理决策至关重要.
- 当临床结果相似时,成本节约决定了机器人平台价值.
- TDABC和灵敏度分析优化了新机器人平台的采用.
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