A cost-benefit analysis of endoscopy reporting methods: handwritten, dictated and computerized
| Autor: | E. J. Kuipers, Rob J. Ouwendijk, S. Ajodhia, Marcel J M Groenen, W. Lesterhuis, J. Y. F. Wynstra, E. J. H. M van de Weijgert |
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| Přispěvatelé: | Gastroenterology & Hepatology, Cardiothoracic Surgery, Department of Management of Technology and Innovation, Internal Medicine |
| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Report writing Time Factors Medical Records Systems Computerized Cost-Benefit Analysis MEDLINE Direct Service Costs medicine Humans Operations management Investments health care economics and organizations Gastrointestinal endoscopy Netherlands medicine.diagnostic_test Cost–benefit analysis Dictation business.industry Depreciation Gastroenterology Endoscopy Surgery Computerized system Forms and Records Control business |
| Zdroj: | Endoscopy, 41(7), 603-607. Georg Thieme Verlag |
| ISSN: | 1438-8812 0013-726X |
| Popis: | Background and study aims Gastrointestinal endoscopy investigations are frequently requested by gastroenterologists, general practitioners and other physicians. In addition to the classic methods of report writing, several electronic endoscopic report systems are currently available. The aim of the study was to evaluate the costs of three different ways of producing reports; by hand, by dictation, or by computer. Methods Three methods of report writing were compared, with special attention to costs. The endoscopy process was analyzed, from arrival of the patient to sending the report to the referring doctor, and including production of endoscopic images or video, logging of used endoscopes and their disinfection, and storage costs for endoscopy data. Results During the first 5 years, the mean costs per procedure were Euro 4.78 for handwritten, Euro 6.39 for dictated and Euro 8.90 for computerized reports. Due to depreciation, after this initial period, the respective costs declined to Euro 4.37, Euro 5.20 and Euro 5.13, respectively. Despite high initial costs, a cost-benefit analysis already revealed a financial benefit from a computerized system after 3 years. Conclusions The electronic production of an endoscopic report turned out to be the most expensive way of report writing during the first 5 years, due to high initial costs. After 5 years the costs of the different systems were comparable with each other. Cost-benefit analysis showed a positive financial benefit for computerized reports after 3 years. |
| Databáze: | OpenAIRE |
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