Rennert, J. and Mrosek, S. and Stroszczynski, C. and Schoeffski, O. and Schreyer, A. (2017) Cost and Income Analysis of the 10 Most Frequent Angiography Interventions at a German University Hospital. GESUNDHEITSWESEN, 79 (10). E85-E94. ISSN 0941-3790, 1439-4421
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Aim Our aim was to make a detailed evaluation and cost analysis of the 10 most frequent angiography interventions in outpatients and inpatients at a university hospital. Material and Methods Based on a detailed process-oriented model we calculated the cost and income for port and dialysis catheter implantation, PTA at the upper (UL) and lower leg (LL), TACE, SIRT, stent angioplasty (pelvis, visceral and supra-aortal vessels) and cerebral coil embolisation for the situations mentioned above. Various income models (DRG, GOA) were considered. A comprehensive evaluation of the overhead and personnel costs was performed. Results The calculated data (in (sic)) were as follows (overall, material, personnel costs, DRG income, GOA income inpatients, outpatients): port catheter: 375, 266, 59, 328, 260, 612; dialysis catheter: 456, 349, 59, 272, 343, 807; PTA UL: 595, 445, 99, 1 240, 425, 1 077; PTA LL: 732, 552, 129, 1 082, 425, 1 184; stent pelvis: 1 523, 1 338, 135, 1 323, 815, n/a; stent visceral: 2 124, 1 875, 199, 1 326, 912, n/a; stent supra-aortal: 1 901, 1 713, 138, 6 705, 1 138, n/a; TACE: 1 359, 1 120, 188, 2 588, 598, n/a; SIRT: 1 251, 1 054, 147, 2 289, 1 107, n/a; intracranial embolisation: 6 684, 6 367, 266, 6 531, n/a, n/a. Conclusion Depending on the income model applied, most procedures caused a deficit, especially using GOA calculations. Outpatients covered by the private health insurance caused earnings for the procedures applied. Only TACE, SIRT and stent angioplasty of supraaortal vessels caused profits in inpatients using InEK calculations.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | TECHNICAL COST; MRI; GOA; InEK; DRG; cost analysis |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Röntgendiagnostik |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 14 Dec 2018 13:19 |
| Last Modified: | 26 Feb 2019 09:00 |
| URI: | https://pred.uni-regensburg.de/id/eprint/2077 |
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