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  1. Economic aspects of lung volume reduction surgery.

    Article - En anglais

    Objective 

    To investigate the economics of lung volume reduction surgery.

    Design 

    Medical center and physician charges obtained from billing records.

    Setting 

    Academic health center.

    Patients 

    Twenty-three consecutive patients undergoing lung volume reduction surgery at a single institution who were discharged from the hospital prior to November 1,1995.

    Outcome measures 

    Length of hospital stay, mortality, medical center charges and professional fees, and sponsor reimbursement.

    Results 

    Median hospital stay was 8.0 days and there were no deaths.

    The median charge was $26,669 (range, $20,032 to $75,561) of which 73% was for medical center services and 27% was for physician services.

    Fees for medical center rooms and operating suite time accounted for 71% of medical center charges.

    Charges by surgeons and anesthesiologists accounted for 77% of professional fees.

    Total charges were directly related to length of stay (r2=0.95).

    Median reimbursement for medical center services was $22,264 (114% ; range, $13,333 to $123,362) and for physician services was $2,783 (34% ; range, $2,597 to $11,265), resulting in a median total reimbursement that represented 94% of total charges.

    The median reimbursement-to-cost ratio was 1.22, compared with 1.05 for all medical services in fiscal year 1995. (...)

    Mots-clés Pascal : Résection chirurgicale, Volume pulmonaire, Evaluation, Coût, Analyse avantage coût, Homme, Chirurgie, Appareil respiratoire pathologie, Poumon pathologie, Economie santé

    Mots-clés Pascal anglais : Surgical resection, Lung volume, Evaluation, Costs, Cost benefit analysis, Human, Surgery, Respiratory disease, Lung disease, Health economy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0483475

    Code Inist : 002B30A04B. Création : 10/04/1997.