Objective.-Toexamine if overall cost savings may fail to result from laparoscopic ( « closed ») cholecystectomy if it also results in an increased total rate of cholecystectomies or generates additional costs unassociated with the open procedure.
Outcome Measures.-Inpatient and outpatient expenditures, incidence rates, and length of inpatient stay data for 6909 health maintenance organization enrollees with gallbladder complaints were analyzed from 1988 through 1992 using claims data from a large, private practice-based health maintenance organization.
Results.-The incidence of cholecystectomy and total health maintenance organization expenditures on gallbladder disease have increased since the introduction of laparoscopic closed cholecystectomy.
Mots-clés Pascal : Appareil digestif pathologie, Voie biliaire pathologie, Economie santé, Traitement, Homme, Chirurgie, Cholécystectomie, Laparoscopie
Mots-clés Pascal anglais : Digestive diseases, Biliary tract disease, Health economy, Treatment, Human, Surgery, Cholecystectomy, Laparoscopy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0004502
Code Inist : 002B25G03. Création : 199406.