Medico-economic analysis of a neurosurgery department at a university hospital

  • Lemaire J
  • Delom C
  • Coste A
  • et al.
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Abstract

© 2015 Elsevier Masson SAS. Objective: Economic and societal constraints require to take into account the economic dimension and medical performance of hospital departments. We carried out a self-assessment study, which we thought could be useful to share with the neurosurgical community. Material and methods: Care and research activities were assessed from 2009 to 2013. We used institutional and assessment-body parameters in order to describe activities and perform a financial evaluation. It was a retrospective descriptive study based on the guidelines of the DHOS/O4 circular No. 2007/390 of October 29, 2007. Results: The average annual, analytic income statement was. +. 1.39 millions euros, for 63 beds with a 92% occupancy rate, including 6.7 full-time equivalent neurosurgeons (and assistants), for 2553 patients and 1975 surgeries. The average mortality rate was 2.74%. The annual mean length of stay was 6.82. days. Per year, on average 15.6% of patients were admitted in emergency and 76.9% returned home. The annual, act-related-pricing and publication-related incomes represented 77% and 0.6%, respectively of the total funding. Difficulties to find downstream beds for the most severe patients induced 1401 "waiting days" in 2012. Conclusion: Medico-economic analysis of a neurosurgery department at a university hospital was useful in order to take into account the care, teaching and research activities, as well as its related financial value.

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APA

Lemaire, J. J., Delom, C., Coste, A., Khalil, T., Jourdy, J. C., Pontier, B., … Irthum, B. (2015). Medico-economic analysis of a neurosurgery department at a university hospital. Neurochirurgie, 61(1), 2–15. https://doi.org/10.1016/j.neuchi.2014.11.011

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