The effectiveness of a hospital-based strategy to reduce the cost of total joint implants.
Our hospital implemented an integrated cost-containment program designed to address the increasing disparity between the cost of orthopaedic implants used for total joint replacements and the amount of hospital reimbursement provided for these procedures.
This program was divided into four phases : (1) the analysis of the specific usage of total hip and total knee implants at our institution, (2) the development of surgeons'awareness of the problem and the enlistment of their participation in the process of cost containment, (3) the initiation of a competitive bidding system to select standard prostheses that would be available for general use within the institution, and (4) the establishment of a prosthesis-utilization committee to monitor the process and to make decisions concerning the use of non-standard prostheses.
Mots-clés Pascal : Prothèse, Total, Articulation, Plastie, Homme, Diminution coût, Programme, Hôpital, Résultat, Etats Unis, Amérique du Nord, Amérique, Economie santé, Chirurgie orthopédique
Mots-clés Pascal anglais : Prosthesis, Total, Joint, Plasty, Human, Cost lowering, Program, Hospital, Result, United States, North America, America, Health economy, Orthopedic surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0489603
Code Inist : 002B25I. Création : 199501.