THE COST OF THE MEDICAL SERVICE FOR ONE-STAGE AND BILATERAL PERCUTANEOUS NEPHROLITHOTOMY AT THE UROLOGY UNIT
DOI:
https://doi.org/10.11603/1681-2786.2017.4.8654Keywords:
cost for the medical service, percutaneous nephrolithotomy, inpatient care, diagnosis-related groups.Abstract
Purpose: calculation of the cost for the medical service delivered to the surgical patients with percutaneous nephrolithotomy.
Materials and Methods. The research was performed on the basis of the official budget of the Urology Unit atLvivRegionalClinicalHospital. The calculation was carried out by the adapted formula according to the “Unique generalized calculation method for the cost of the medical service and weight coefficient in U-DRG at health care institutions”.
Results. The expense of the treatment for patients with one-stage percutaneous nephrolithotomy at the Urology Unit in the Western region accounts for 13673.40 UAH, the cost of a two-stage nephrolithotomy is 26668.60 UAH. In addition, the indirect expenses connected with the patient treatment during the whole admitting period constitute 1907.15 UAH. The most expensive services include the carriage of the facilities, equipment and tools (4985 UAH).
Conclusions. One-stage nephrolithotomy is both less traumatic for the patient and more financially favourable for the country as the total expenses for its performance are generally lower in 1.95 times compared to the two-stage nephrolithotomy.
References
Yedyna unifikovana metodyka vartosti medychnykh posluh ta vahovykh koefitsiientiv U-DRG hrup v zakladakh okhorony zdoroviia Ukrainy [Unified unified methodology for calculating the cost of medical services and weighted coefficients of U-DRG groups in health care institutions of Ukraine]. (2015). Methodical Developments, edited by M. I. Yatsiuk. Kyiv [in Ukrainian].
Lobodina, Z. (2007). Reformuvannia systemy oplaty medychnykh posluh zakladiv okhorony zdorovia ditei: perspektyvy zaprovadzhennia hlobalnoho biudzhetu [Reforming the system of payment for medical services of children's health facilities: prospects for the introduction of the global budget]. Svit finansiv – World of Finance, 4 (13), 151-162 [in Ukrainian].
Pavliuk, K.V. (2016). Udoskonalennia mekhanizmiv finansuvannia medychnykh posluh v Ukraini [Improvement of the mechanisms of financing medical services in Ukraine]. Finansy Ukrainy – Finance of Ukraine, 2, 64-82 [in Ukrainian].
Rozhkova, I.V. (2008). Derzhavne ruhuliuvannia rozvytku mekhanizmiv finansuvannia systemy okhorony zdorovia na zasadakh suspilnoi spravedlyvosti [State regulation of mechanisms for financing health system based on social justice]. Zbirnyk naukovykh prats Natsionalnoi akademii derzhavnoho upravlinnia pry Prezydentovi Ukrainy – Collection of Scientific works of the National Academy of State Management under the President of Ukraine, 2, 224-233 [in Ukrainian].
Geissler, A., Quentin W., & Scheller-Kreinsen D. (2011). Introduction to DRGs in Europe: Common objectives across different hospital systems. In R. Busse, A. Geissler, W. Quentin, M. Wiley (Eds.). Diagnosis-Related Groups in Europe: Moving towards transparency, effi ciency and quality in hospitals. Berkshire: McGrow Hill. Retrieved from: http://eurodrg.projects.tu-berlin.de/publications/DRGbook/Ch2_Geissler.pdf
Zaib, A. Sistema rascheta G-DRG [G-DRG calculation system]. hanke-medconsult.de. Retrieved from: http://hanke-medconsult.de/ru/система_расчета_g-drg.html [in Russian].
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).
