In the present era of resource management, there is increasing emphasis on the need to make the best possible use of available resources.
We therefore measured the productive factors directly involved in performance of 59 evoked potential examinations (brainstem auditory evoked potentials, BAEPs ; flash visual evoked potentials, F-VEPs ; and electroretinograms, ERGS) in different pediatric age groups.
In order to ascertain the gap between the costs of instrumental examinations performed in our service on children and the fees reimbursed by the Italian national health service (NHS) a breakdown was made of the costs of tests and their scheduling in relation to the different age variables involved.
It was found that the fees reimbursed do not cover the real costs, because they underestimate the actual consumption of resources.
The findings recorded indicate that for pediatric tests the economic audit should be graded according to the ages of the children examined and should include an analysis of different test phases.
The economic audit should also be considered a preliminary step in clinical audit.
It is concluded that it is financially punitive to reimburse a pediatric service with a fee based on the examination of adults, because in pediatrics the variable « age » influences the duration and complexity of tests and also their interpretation.
Mots-clés Pascal : Potentiel évoqué auditif, Tronc cérébral, Potentiel évoqué visuel, Electrorétinographie, Coût unitaire, Honoraires, Economie ressource, Gestion ressources, Age, Economie santé, Enfant, Homme, Electrodiagnostic
Mots-clés Pascal anglais : Auditory evoked potential, Brain stem, Visual evoked potential, Electroretinography, Itemized costs, Fees, Conservation of resources, Resource management, Age, Health economy, Child, Human, Electrodiagnosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0257667
Code Inist : 002B30A04B. Création : 11/06/1997.