Mihajlo Jakovljević1, Ana Ranković2, Nemanja Rančić3, Mirjana Jovanović4, Miloš Ivanović5, Olgica Gajović6, Zorica Lazić7. 1. Faculty of Medical Sciences, Department of Pharmacology and Toxicology, University of Kragujevac, Kragujevac, Serbia. Electronic address: jakovljevicm@medf.kg.ac.rs. 2. Radiology Diagnostic Service, University Clinical Center, Kragujevac, Serbia. 3. Medical Faculty, Centre for Clinical Pharmacology, Military Medical Academy, University of Defence, Begrade, Serbia. 4. The Psychiatry Clinic, University Clinical Center, Kragujevac, Serbia. 5. The Faculty of Science, University of Kragujevac, Kragujevac, Serbia. 6. The Infectious Diseases Clinic, University Clinical Center, Kragujevac, Serbia. 7. The Pulmonary Diseases Clinic, University Clinical Center, Kragujevac, Serbia.
Abstract
OBJECTIVE: Assessment of costs matrix and patterns of prescribing of radiology diagnostic, radiation therapy, nuclear medicine, and interventional radiology services. Another aim of the study was insight into drivers of inappropriate resource allocation. METHODS: An in-depth, retrospective bottom-up trend analysis of services consumption patterns and expenses was conducted from the perspective of third-party payer, for 205,576 inpatients of a large tertiary care university hospital in Serbia (1,293 beds) from 2007 to 2010. RESULTS: A total of 20,117 patients in 2007, 17,436 in 2008, 19,996 in 2009, and 17,579 in 2010 were radiologically examined, who consumed services valued at €2,713,573.99 in 2007, €4,529,387.36 in 2008, €5,388,585.15 in -2009, and €5,556,341.35 in 2010. CONCLUSIONS: The macroeconomic crisis worldwide and consecutive health policy measures caused a drop in health care services diversity offered in some areas in the period 2008 to 2009. In spite of this, in total it increased during the time span observed. The total cost of services increased because of a rise in overall consumption and population morbidity. An average radiologically examined patient got one frontal chest graph, each 7th patient got an abdomen ultrasound examination, each 19th patient got a computed tomography endocranium check, and each 25th patient got a head nuclear magnetic resonance. Findings confirm irrational prescribing of diagnostic procedures and necessities of cutting costs. The consumption patterns noticed should provide an important momentum for policymakers to intervene and ensure higher adherence to guidelines by clinicians.
OBJECTIVE: Assessment of costs matrix and patterns of prescribing of radiology diagnostic, radiation therapy, nuclear medicine, and interventional radiology services. Another aim of the study was insight into drivers of inappropriate resource allocation. METHODS: An in-depth, retrospective bottom-up trend analysis of services consumption patterns and expenses was conducted from the perspective of third-party payer, for 205,576 inpatients of a large tertiary care university hospital in Serbia (1,293 beds) from 2007 to 2010. RESULTS: A total of 20,117 patients in 2007, 17,436 in 2008, 19,996 in 2009, and 17,579 in 2010 were radiologically examined, who consumed services valued at €2,713,573.99 in 2007, €4,529,387.36 in 2008, €5,388,585.15 in -2009, and €5,556,341.35 in 2010. CONCLUSIONS: The macroeconomic crisis worldwide and consecutive health policy measures caused a drop in health care services diversity offered in some areas in the period 2008 to 2009. In spite of this, in total it increased during the time span observed. The total cost of services increased because of a rise in overall consumption and population morbidity. An average radiologically examined patient got one frontal chest graph, each 7th patient got an abdomen ultrasound examination, each 19th patient got a computed tomography endocranium check, and each 25th patient got a head nuclear magnetic resonance. Findings confirm irrational prescribing of diagnostic procedures and necessities of cutting costs. The consumption patterns noticed should provide an important momentum for policymakers to intervene and ensure higher adherence to guidelines by clinicians.
Authors: Bright Kwadwo Bour; Edem Kwabla Sosu; Francis Hasford; Prince Kwabena Gyekye; Daniel Gyingiri Achel; Augustine Faanu; Joseph Kwabena Amoako; Richard Denys Pitcher Journal: Pan Afr Med J Date: 2022-04-14
Authors: Mihajlo Jakovljevic; Elena A Varavikova; Henriette Walter; Alexander Wascher; Ana V Pejcic; Otto M Lesch Journal: Front Pharmacol Date: 2017-05-26 Impact factor: 5.810
Authors: Mihajlo Jakovljevic; Carl Camilleri; Nemanja Rancic; Simon Grima; Milena Jurisevic; Kenneth Grech; Sandra C Buttigieg Journal: Front Public Health Date: 2018-08-06
Authors: Kristijan Krstic; Katarina Janicijevic; Yuriy Timofeyev; Evgeny V Arsentyev; Gvozden Rosic; Sergey Bolevich; Vladimir Reshetnikov; Mihajlo B Jakovljevic Journal: Front Public Health Date: 2019-12-13