J J Vaquero Martínez1, J M García Aparicio, J Díaz Gómez, D Blasco Paredes. 1. Médico, Responsable del Programa de Cirugía Menor del CS Río Nacimiento, Centro de Salud Río Nacimiento, Distrito Centro-Almería y Distrito Levante-Alto Almanzora, Spain. jjvaquero@larural.es
Abstract
AIM: To quantify the cost of minor surgery in our health district during a year, by examining the amounts charged. To find the degree of clinical/pathological correlation and the number of complications, as indirect indicators of quality. DESIGN: Descriptive, cross-sectional, retrospective study. SETTING: Primary care, Río Nacimiento Health District, Abla (Almería). PARTICIPANTS: The study included all those patients attended within the minor surgery programme in the year 2000, and all the procedures used (84 patients and 95 procedures). MAIN MEASUREMENTS: The variables analysed were: type of procedure and surgery, clinical/pathological correlation, early surgical complications, and cost per procedure. We calculated the cost of our activity on the basis of: a) cost occasioned at the health centre; b) what a medical insurance company would bill; c) what a primary care district would bill, and d) what a health service hospital would bill. RESULTS: 95 procedures in 84 patients were examined. 31 samples were sent to pathology with a clinical-pathological correlation of 77.42%. No complications were recorded. At our centre the cost was 817.18 euros. An insurance company would have charged 8803.63 euros; a PC district, 4852.03 euros; and a health service hospital, 14 015.39 euros. CONCLUSION: The minor surgery performed at our health centre by our team was more cost-effective than if it was performed in other public or private centres with high standards of quality.
AIM: To quantify the cost of minor surgery in our health district during a year, by examining the amounts charged. To find the degree of clinical/pathological correlation and the number of complications, as indirect indicators of quality. DESIGN: Descriptive, cross-sectional, retrospective study. SETTING: Primary care, Río Nacimiento Health District, Abla (Almería). PARTICIPANTS: The study included all those patients attended within the minor surgery programme in the year 2000, and all the procedures used (84 patients and 95 procedures). MAIN MEASUREMENTS: The variables analysed were: type of procedure and surgery, clinical/pathological correlation, early surgical complications, and cost per procedure. We calculated the cost of our activity on the basis of: a) cost occasioned at the health centre; b) what a medical insurance company would bill; c) what a primary care district would bill, and d) what a health service hospital would bill. RESULTS: 95 procedures in 84 patients were examined. 31 samples were sent to pathology with a clinical-pathological correlation of 77.42%. No complications were recorded. At our centre the cost was 817.18 euros. An insurance company would have charged 8803.63 euros; a PC district, 4852.03 euros; and a health service hospital, 14 015.39 euros. CONCLUSION: The minor surgery performed at our health centre by our team was more cost-effective than if it was performed in other public or private centres with high standards of quality.
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Authors: María Gabriela Ramírez Arriola; Naima Hamido Mohamed; Juan José Abad Vivás-Pérez; Juan José Bretones Alcaráz; Juan Manuel García Torrecillas; Evelyn Huber Journal: Aten Primaria Date: 2016-06-26 Impact factor: 1.137