Variation in costs of cone beam CT examinations among healthcare systems

Autor: Christell, Helena, Birch, Stephen, Hedesiu, Mihaela, Horner, Keith, Ivanauskaité, Deimante, Nackaerts, Olivia, Rohlin, Madeleine, Lindh, Christina, SEDENTEXCT consortium
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Cone beam computed tomography
Cuspid
Dentistry
diagnostic
Odontologi
Patient Care Planning
030218 nuclear medicine & medical imaging
Indirect costs
0302 clinical medicine
Belgium
Cost of Illness
Maxilla
Radiography
Dental
Wisdom tooth
Child
health care economics and organizations
media_common
Aged
80 and over
Tooth
Impacted
General Medicine
Health Care Costs
cone beam computed tomography
Cone-Beam Computed Tomography
Middle Aged
3. Good health
medicine.anatomical_structure
Costs and Cost Analysis
Health Resources
Healthcare system
Adult
Financing
Personal
Adolescent
costs and cost analysis
Direct Service Costs
03 medical and health sciences
Tooth Loss
Young Adult
medicine
media_common.cataloged_instance
Capital cost
Humans
Radiology
Nuclear Medicine and imaging
Operations management
European Union
European union
General Dentistry
Cone beam ct
Aged
Sweden
business.industry
Romania
Research
Lithuania
030206 dentistry
Otorhinolaryngology
Capital equipment
Tooth Extraction
oral health
Molar
Third
business
Delivery of Health Care
Popis: Objectives: To analyse the costs of cone beam CT (CBCT) in different healthcare systems for patients with different clinical conditions. Methods: Costs were calculated for CBCT performed in Cluj (Romania), Leuven (Belgium), Malmö (Sweden) and Vilnius (Lithuania) on patients with (i) a maxillary canine with eruption disturbance, (ii) an area with tooth loss prior to implant treatment or (iii) a lower wisdom tooth planned for removal. The costs were calculated using an approach based on the identification, measurement and valuation of all resources used in the delivery of the service that combined direct costs (capital equipment, accommodation, labour) with indirect costs (patients’ and accompanying persons’ time, ‘‘out of pocket’’ costs for examination fee and visits). Results: The estimates for direct and indirect costs varied among the healthcare systems, being highest in Malmö and lowest in Leuven. Variation in direct costs was mainly owing to different capital costs for the CBCT equipment arising from differences in purchase prices(range J148 000–227 000). Variation in indirect costs were mainly owing to examination fees (range J0–102.02). Conclusions: Cost analysis provides an important input for economic evaluations of diagnostic methods in different healthcare systems and for planning of service delivery. Additionally, it enables decision-makers to separate variations in costs between systems into those due to external influences and those due to policy decisions. A cost evaluation of a dental radiographic method cannot be generalized from one healthcare system to another, but must take into account these specific circumstances.
Databáze: OpenAIRE
Externí odkaz: