[DRG charge and real cost of a radical prostatectomy: preliminary considerations before a study of cost reduction]. / Tariffa DRG e costo reale di una prostatectomia radicale: considerazioni preliminari a uno studio per il contenimento della spesa.
Arch Ital Urol Androl
; 71(3): 179-83, 1999 Jun.
Article
em It
| MEDLINE
| ID: mdl-10431410
Aim of the work was to evaluate the real cost of a radical prostactemy in comparison with the DRG's tariff rates. This work has been conduct before a next study whose objective is the reduction of the costs. The unitary estimated cost of the radical prostatectomies performed from 1997 to April 1998 in the Urological Division of the Università Cattolica S. Cuore has been extrapolated from the entire clinical activity of the same period. The real cost of an uncomplicated radical prostatectomy was also detected. The estimated cost was Lit. 8,225,872 in comparison to the DRG's tariff rate of Lit. 8,842,000; instead the real cost was Lit. 9,085,407. Forty-seven percent of this sum was for routine care in the Division, while 30% for operating room, 5% for pharmacy, 4% for laboratory and 14% for other items. In our institution an operation of high specialization like radical prostatectomy already performed without any complication is little remunerative. Routine care was the major cost: we think its improvement is the first step in order to contain the expense. In this way we can expect secondarily also a reduction in the days of stay.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Prostatectomia
/
Grupos Diagnósticos Relacionados
Tipo de estudo:
Health_economic_evaluation
Limite:
Humans
/
Male
País/Região como assunto:
Europa
Idioma:
It
Revista:
Arch Ital Urol Androl
Assunto da revista:
MEDICINA REPRODUTIVA
/
NEFROLOGIA
/
UROLOGIA
Ano de publicação:
1999
Tipo de documento:
Article
País de afiliação:
Itália
País de publicação:
Itália