Computer physician order entry (CPOE) as a strategy to estimate laboratory activity and costs associated with cancer clinical trials
| Autor: | Arturo Carratala-Calvo, Enrique Rodriguez-Borja, Macarena Diaz-Gimenez, Africa Corchon-Peyrallo |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Cancer clinical trial Cost-Benefit Analysis Clinical Biochemistry Clinical decision support system Medical Order Entry Systems law.invention Order entry User-Computer Interface 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Neoplasms health care costs medicine Humans Formulary Reimbursement clinical decision support systems Protocol (science) Clinical Trials as Topic Clinical Laboratory Techniques business.industry Biochemistry (medical) Original Papers computer physician order entry laboratory management randomized controlled trials nervous system diseases Clinical trial 030104 developmental biology 030220 oncology & carcinogenesis Emergency medicine business |
| Zdroj: | Biochemia Medica Volume 28 Issue 3 r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA instname |
| ISSN: | 1846-7482 1330-0962 |
| Popis: | Introduction Most of clinical laboratories are not properly reimbursed for their activity related to clinical trials (CTs) conducted in their institutions due to a lack of measurement strategies. We implemented a specific computer physician order entry (CPOE) environment for CTs in order to facilitate ordering to providers and estimate the associated costs to be compared with the standard of care (SOC). Materials and methods Four specific electronic formularies, restricted to two new virtual CTs clinical services (onco - CT and haemo - CT), were implemented in January 2015. For each clinical trial displayed in the panels there were several box-cells that contained several profiles based on the different phase of the trials. Tests included in the profiles were the tests required by protocol. Laboratory costs (€) per patient were compared between the CTs services and their regular outpatients clinical services (onco - Out and haemo - Out, considered the SOC) for three years. Results Costs per patient were higher for CTs services and increased progressively each year (25%, 70% and 70% and 0.6%, 2.7% and 17% in 2015, 2016 and 2017 for Oncology and Haematology, respectively). Taking into account all these differences and the number of patients attending a total difference in expense of + 130,377.7 € for the period 2015-2017 was obtained between CTs and outpatients services. Conclusions Strategies through CPOE systems based on restricted and specific profiles for CTs ordering are a promising tool that can improve laboratory associated costs estimation and provide robust evidence in reimbursement negotiation processes with CTs sponsors. |
| Databáze: | OpenAIRE |
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