Cost-effectiveness Analysis and Case-based Payment Norm Modeling on Appendicitis Patients at Hanoi Medical University Hospital
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 322
- 试验地点
- 1
- 主要终点
- Cost of appendectomy based on health care services fee
研究概览
简要总结
In the world, there are several studies comparing the cost-effectiveness between laparoscopic appendectomy and open appendectomy. But in Vietnam, health economics studies for acute appendicitis surgery in general and laparoscopic appendectomy in particular has hardly been available, and in the context of reform of the financial mechanism for payment, questions about the cost-effectiveness between the two surgical methods are particularly concerned. Therefore, we conducted a study "Cost-effectiveness analysis and case-based payment norm modeling in patients with appendectomy at Hanoi Medical University Hospital"
详细描述
Acute Appendicitis (AA) is a surgical emergency most common stomach. Appendicitis occurs at all ages. Recently, the rate tends to increase VRTC with age. In the United States, there are about 300,000 cases of appendectomy surgery per year. In Vietnam, according to statistics from a number of other authors showed that the rate of appendectomy surgery accounted for 40.5% - 49.8% of total number of cases of abdominal emergency. Open appendectomy (OA) has long been applied as the gold standard surgical procedure for the treatment of AA for over a century, since it was introduce by McBurrney in 1894 and still be common choice for procedure in many center. In 1981, due to the growth of endoscopic surgery, Semm first introduced the laparoscopic appendectomy, which render a minimal invasive procedure for abdomen and skin, nevertheless, its superiority over open appendectomy (OA) is still being debated. Some more recent paper demonstrate that Laparoscopic Appendectomy is the technique of choice in treatment of AA because of its clinical advantage and cost-effectiveness, however, more than 20 years later, the benefits of LA still remain a controversy for many researchers.
There are several studies comparing the cost-effectiveness between laparoscopic appendectomy and open appendectomy in the world. But in Vietnam, health economics studies for appendix removal surgery in general and laparoscopic appendectomy in particular has hardly been available, and in the context of reform of the financial mechanism for payment, questions about the cost-effectiveness between the two surgical methods are particularly concerned. Therefore, we conducted a study "Cost-effectiveness analysis and case-based payment norm modeling in patients with appendectomy at Hanoi Medical University Hospital" with two main purposes
- Analyze cost-effectiveness between laparoscopic and open surgery in patients undergoing appendectomy at Hanoi Medical University Hospital in 2011 - 2013
- Model case-based payment norm of appendectomy patients at Hanoi Medical University Hospital
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Laparoscopic Appendectomy patients agree to participate in research and are paid by the mode of service charge
- •Laparoscopic Appendectomy patients agree to participate in research and are paid according to package medical cases
排除标准
- •Patients with combined pathology affecting surgical outcomes
- •The patient did not agree to participate in research
- •Patients do not comply with treatment
结局指标
主要结局
Cost of appendectomy based on health care services fee
时间窗: 2 years
The expenses that patient pay for acute appendicitis treatment accounted in accordance with services fee of hospital
Average cost of hospitalization based on the final hospital bills
时间窗: 2 years
Total mean expense that patient pay for hospital after completing acute appendicitis treatment
Average Cost of medication
时间窗: 2 years
Total mean cost of drugs used during operation for removal of appendix
Overall treatment cost of acute appendicitis patient
时间窗: From the beginning of hospital admission till discharge from hospital ((an expected average of 10 days, maximum 20 days)
Total amount of money that acute appendicitis patient have to spend during the time of hospitalization
Case-based cost of appendectomy
时间窗: 2 years
The expenses that patient pay for surgical removal of appendix accounted by case-based standardisation
次要结局
- Length of hospital stay(from the beginning of the surgery till discharge from hospital (an expected average of 8 days, maximum 20 days))
- Duration of post-operative pain(from the beginning of the surgery till discharge from hospital (an expected average of 8 days, maximum 20 days))
- Surgical outcome at hospital discharge(2 years)
- Degree of post-operative pain(from the beginning of the surgery till discharge from hospital (an expected average of 8 days, maximum 20 days))
- Time until resumption of clear liquid and regular diet(from the beginning of the surgery to the resumption (an expected average 2 days after the surgery)
研究者
Bui My Hanh
Director, Science Research and International Cooperation Unit
Hanoi Medical University