RESUMEN
Background: The costs of medical care increase along with technological advances. Therefore, highly complex and expensive procedures should be performed in a limited number of institutions. Aim: To report the initial experience on electrophysiological studies performed to beneficiaries of a public health insurance system in Chile (FONASA). Material and methods: An agreement was reached between the Electrophysiology Unit of the Clinical Hospital of the Catholic University and FONASA, to perform electrophysiological studies at a minimal cost, that only considered disposable materials and hospital stay. Thirty patients with supraventricular arrhythmias or ventricular arrhythmias without an associated cardiopathy, were attended using this agreement at the unit. Results: In all treated patients, arrhythmias disappeared. Costs remained within the assigned budget, excepting occasional complementary tests. Conclusions: This pioneering experience demonstrated that it is possible that public health insurance systems can buy complex and expensive procedures to private hospitals.
Asunto(s)
Adolescente , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Arritmias Cardíacas/diagnóstico , Técnicas Electrofisiológicas Cardíacas/economía , Seguro de Salud/economía , Programas Nacionales de Salud/economía , Arritmias Cardíacas/economía , Chile , Electrocoagulación , Estudios de Seguimiento , Planes de Asistencia Médica para Empleados/economía , Costos de la Atención en Salud , Hospitales Privados , Hospitales Públicos , Hospitales Universitarios , Proyectos PilotoRESUMEN
BACKGROUND: The costs of medical care increase along with technological advances. Therefore, highly complex and expensive procedures should be performed in a limited number of institutions. AIM: To report the initial experience on electrophysiological studies performed to beneficiaries of a public health insurance system in Chile (FONASA). MATERIAL AND METHODS: An agreement was reached between the Electrophysiology Unit of the Clinical Hospital of the Catholic University and FONASA, to perform electrophysiological studies at a minimal cost, that only considered disposable materials and hospital stay. Thirty patients with supraventricular arrhythmias or ventricular arrhythmias without an associated cardiopathy, were attended using this agreement at the unit. RESULTS: In all treated patients, arrhythmias disappeared. Costs remained within the assigned budget, excepting occasional complementary tests. CONCLUSIONS: This pioneering experience demonstrated that it is possible that public health insurance systems can buy complex and expensive procedures to private hospitals.