The Croatian Health Insurance Fund Does not Recognize Difference in the Cost of Different Treatments for Revision Total Hip Arthroplasty
| Autor: | Dinko Vidović, Tomislav Ćuti, Krešimir Rotim, Slaven Babić, Srećko Sabalić, Domagoj Gajski, Dejan Blažević |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Hospital information system
medicine.medical_specialty Financial Management Total cost Arthroplasty Replacement Hip Psychological intervention aseptic instability financial analysis infection periprosthetic fracture revision total hip arthroplasty lcsh:Medicine Periprosthetic Traumatology Aseptic instability Humans Medicine Original Scientific Papers Revision total hip arthroplasty Reimbursement health care economics and organizations Retrospective Studies Croatian Hip surgery Insurance Health business.industry General surgery lcsh:R General Medicine Financial analysis language.human_language Prosthesis Failure Periprosthetic fracture language Hip Prosthesis Infection business |
| Zdroj: | Acta Clinica Croatica, Vol 59., Iss 4., Pp 667-671 (2020) Acta Clinica Croatica |
| Popis: | SUMMARY In recent years, there has been increased interest in the cost of treatment for revision interventions for hip and knee prostheses. In all publications so far, the authors note the high cost of treatment for revision interventions, especially if infection is present. The aim of this study was to compare the cost of treatment and health insurance reimbursements between revision total hip arthroplasty (THA) for infection and revision for aseptic indications (aseptic instability and periprosthetic fracture). Hospital data on 168 patients having undergone revision THA between 2010 and 2018 at the Department of Traumatology, Sestre milosrdnice University Hospital Centre from Zagreb were analyzed. Financial data were collected from the Hospital Information System. Financial analysis included total cost per patient, Croatian Health Insurance Fund reimbursements, cost of implants, and length of hospital stay. The difference between the mean total cost per patient and the mean Croatian Health Insurance Fund reimbursements was -262.83 € (-6.08%) for aseptic instability, -1694.94 € (-17.25%) for infection and -916.49 € (-17.33%) for periprosthetic fracture. The Croatian Health Insurance Fund does not recognize differences in the cost of revision THA for aseptic instability, infection and periprosthetic fracture. Health insurance reimbursement is inadequate for centers that offer revision hip surgery. |
| Databáze: | OpenAIRE |
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