Publication
Do Prices Reflect the Costs of Cardiac Surgery in the Elderly?
| dc.contributor.author | Coelho, P | |
| dc.contributor.author | Rodrigues, V | |
| dc.contributor.author | Miranda, L | |
| dc.contributor.author | Fragata, J | |
| dc.contributor.author | Pita Barros, P | |
| dc.date.accessioned | 2018-03-06T16:34:41Z | |
| dc.date.available | 2018-03-06T16:34:41Z | |
| dc.date.issued | 2017-01 | |
| dc.description.abstract | INTRODUCTION: Payment for cardiac surgery in Portugal is based on a contract agreement between hospitals and the health ministry. Our aim was to compare the prices paid according to this contract agreement with calculated costs in a population of patients aged ≥65 years undergoing cardiac surgery in one hospital department. METHODS: Data on 250 patients operated between September 2011 and September 2012 were prospectively collected. The procedures studied were coronary artery bypass graft surgery (CABG) (n=67), valve surgery (n=156) and combined CABG and valve surgery (n=27). Costs were calculated by two methods: micro-costing when feasible and mean length of stay otherwise. Price information was provided by the hospital administration and calculated using the hospital's mean case-mix. RESULTS: Thirty-day mortality was 3.2%. Mean EuroSCORE I was 5.97 (standard deviation [SD] 4.5%), significantly lower for CABG (p<0.01). Mean intensive care unit stay was 3.27 days (SD 4.7) and mean hospital stay was 9.92 days (SD 6.30), both significantly shorter for CABG. Calculated costs for CABG were €6539.17 (SD 3990.26), for valve surgery €8289.72 (SD 3319.93) and for combined CABG and valve surgery €11 498.24 (SD 10 470.57). The payment for each patient was €4732.38 in 2011 and €4678.66 in 2012 based on the case-mix index of the hospital group, which was 2.06 in 2011 and 2.21 in 2012; however, the case-mix in our sample was 6.48 in 2011 and 6.26 in 2012. CONCLUSION: The price paid for each patient was lower than the calculated costs. Prices would be higher than costs if the case-mix of the sample had been used. Costs were significantly lower for CABG. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | Rev Port Cardiol. 2017 Jan;36(1):35-41. | pt_PT |
| dc.identifier.doi | 10.1016/j.repc.2016.08.006 | pt_PT |
| dc.identifier.uri | http://hdl.handle.net/10400.17/2934 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Sociedade Portuguesa de Cardiologia | pt_PT |
| dc.subject | HSM CCT | pt_PT |
| dc.subject | Cardiac Surgical Procedures/economics | pt_PT |
| dc.subject | Commerce | pt_PT |
| dc.subject | Health Care Costs | pt_PT |
| dc.title | Do Prices Reflect the Costs of Cardiac Surgery in the Elderly? | pt_PT |
| dc.title.alternative | Serão Preço e Custo Coincidentes na Cirurgia Cardíaca do Idoso? | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 41 | pt_PT |
| oaire.citation.issue | 1 | pt_PT |
| oaire.citation.startPage | 35 | pt_PT |
| oaire.citation.title | Revista Portuguesa de Cardiologia | pt_PT |
| oaire.citation.volume | 36 | pt_PT |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |