The economic benefits of ambulatory surgery relative to inpatient surgery for laparoscopic tubal ligation

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• 作者：Lemos ; Paulo ; Regalado ; Ana ; Marques ; Domingos ; Castanheira ; Cé ; lia ; Malafaia ; F&aacute ; tima ; et. al.
• 关键词：Ambulatory surgery ; Laparoscopic tubal ligation ; Costs
• 刊名：Ambulatory Surgery
• 出版年：2003
• 期刊代码：4_09666532
• 类别：med
• 出版时间：May, 2003
• 卷：10
• 期：2
• 页码：61-65
• 文件大小：157 K

摘要

This prospective economic study aims to evaluate the costs of both outpatient and inpatient laparoscopic tubal ligation (LTL) and compares this with the price proposed by the Institute for Informatics and Financial Health Management (Instituto de Gestão Inform&aacute;tica e Financeira da Saúde (IGIFS)). The study included 24 patients, all candidates for a day surgery programme, assigned to two groups of 12 patients: GROUP A (ambulatory surgery (AS)) and GROUP I (inpatient). A highly significant statistical difference was found (P<0.01) between the average surgery times for the two groups: GROUP A=26.75 min, and GROUP I=45.42 min. The study showed an average saving of 62.4%(€593.22) for each LTL performed on an outpatient basis compared with the inpatient regime. Extrapolating these results to all LTL procedures, the authors concluded that there would have been a saving of €107.372, 82 if the 181 LTP carried out in the Hospital Geral Santo António in 1999 had been performed under the ambulatory regime. The current economic evaluation highlights the urgent need to develop effective AS programmes in Portuguese public hospitals, especially at a time when National Health Service costs in Portugal are steadily rising.