Analysis of the cost of surgeries before and after the start of the day care department in a teaching hospital in Iran during 2015-2019 - Payesh (Health Monitor)
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Volume 21, Issue 6 (November-December 2022)                   Payesh 2022, 21(6): 605-614 | Back to browse issues page

Ethics code: IR.IUMS.REC.1398.397


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Mahmodpure Azari M, Abutorabi A, Zare M A. Analysis of the cost of surgeries before and after the start of the day care department in a teaching hospital in Iran during 2015-2019. Payesh 2022; 21 (6) :605-614
URL: http://payeshjournal.ir/article-1-1718-en.html
1- School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
2- Medical school, Iran University of Medical Sciences, Tehran, Iran
Abstract:   (832 Views)
Objectiv (s): One of the ways to reduce costs in hospitals is to establish a day surgery ward.  This study aimed to analyze the cost of surgeries before and after the establishment of the day care department in a teaching hospital affiliated to Iran University of Medical Sciences in Tehran, Iran.
Methods: This descriptive study was conducted in 2020 using the data of the hospital's accounting system and the patients' clinical records during 2015-2019. To analyze the data and compare the costs the records of patients with selected surgeries such as  removal of deep screw or pin, closed metacarpal fracture treatment, treatment of nasal fracture, placement of external fixation device, removal of plaque or rod inside the canal, adjustment of external fixation system, maxillofacial fixation, treatment of open mandibular complex fracture were included (251 people for the inpatient wards and 243 people for the daily surgery ward).
Results: The greatest economic savings per surgery were related to the treatment of complex mandibular fractures. The least economical savings were made for each operation of removing the plate or rod inside the canal, installing an external fixator. In total, the cost of eight selected surgeries in the day care department showed an average cost reduction of 26% compared to the men's general surgery department.
Conclusion: The establishment of the day care department seems cost effective. The day care unit reduces hospital costs, frees up hospital beds, and reduces the patient's physical and psychological complications.
Full-Text [PDF 867 kb]   (652 Downloads)    
type of study: Clinical Trial | Subject: Helath Services Management
Received: 2021/08/28 | Accepted: 2022/11/6 | ePublished ahead of print: 2023/01/2 | Published: 2023/01/2

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