Κατεύθυνση Σχεδιασμός και Διοίκηση Υπηρεσιών ΥγείαςLibrary of the School of Health Sciences
Αθανάσιος Βοζίκης, Αν. Καθηγητής, Τμήμα Οικονομικών, Πανεπιστήμιο Πειραιώς
Ιωάννης Τούντας, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Μαρία Καντζανού, Επ. Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Οικονομική ανάλυση και σύγκριση μεταξύ εργαλείων λαπαροσκοπικής χειρουργικής μίας και πολλαπλών χρήσεων
Financial analysis and comparison between disposable and reusable laparoscopic instruments
Aim of the study
The aim of the present study is the calculation and comparison of the costs that result from the usage of two different forms of laparoscopic instruments: Reusable Laparoscopic Instruments (RLIs) and Disposable Laparoscopic Instruments (DLIs).
Materials and methods
The study was designed as a Cost Minimization Analysis and studies sets of basic laparoscopic instruments, which are used practically in almost every laparoscopic procedure, and not other, more sophisticated instruments. The primary source of data was the Navy and Veterans Hospital of Athens, where a significant number of laparoscopic procedures takes place. The studied period was between 1/1/2012 and 31/12/2017 and the total cost that resulted from the 2.018 laparoscopic procedures that had been executed with reusable instruments by the hospital’s surgeons during that period was estimated. Afterwards, the cost that would have occurred if the procedures had been executed with disposable instruments instead was estimated. Then the analysis and comparison of the resulting data was performed.
From the usage of reusable basic laparoscopic instruments in 2.018 procedures, the total estimated cost was 108.052,04€, which corresponds to 53,54€ per procedure. In the case that disposable instruments had been used instead, in the same number of operations, the total cost would amount to 805.182€, which corresponds to 399€ per procedure. Therefore, the usage of reusable laparoscopic instruments resulted in savings of 86,58%. It was also estimated that the relatively high initial purchase cost of each set of reusable instruments was amortized after 13 procedures.
The results of the study suggest a clear superiority of reusable laparoscopic instruments in terms of cost and cost-effectiveness. Their introduction appears to be a way of significant economization for both larger and smaller hospitals, as long as they have the facilities to support their usage.
Main subject category:
Surgery, Procedure, Laparoscopy, Instruments, Reusable, Disposable, Cost, Sterilization