Variations in bariatric surgical care pathways: a national costing study on the variability of services and impact on costs.

Q1 Medicine

BMC Obesity Pub Date : 2018-12-26 eCollection Date: 2018-01-01 DOI:10.1186/s40608-018-0223-3

Eleanor Grieve, Ruth M Mackenzie, Jane Munro, Joanne O'Donnell, Sally Stewart, Abdulmajid Ali, Duff Bruce, Miranda Trevor, Jennifer Logue

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引用次数: 0

Abstract

Background: We undertook a survey of all bariatric centres in Scotland in order to describe current pre- and post-operative care, to estimate their costs and explore differences in financial impact.

Methods: A questionnaire was distributed to each health centre. Descriptive statistics were used to present average cost per patient along with 95% confidence intervals, and the range of costs.

Results: Results show nearly a five-fold difference in costs per patient for pre-operative services (range £226 - £1071) and more than a three-fold difference for post-operative services (range £259 - £896).

Conclusions: There is a lack of evidence base and a clear requirement for the evaluation of bariatric surgical services to identify the care pathways pre- and post-surgery which lead to largest improvements in health outcomes and remain cost-effective.

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减肥手术治疗途径的变化：一项关于服务变化及其对成本影响的全国成本研究。

背景：我们对苏格兰所有减肥中心进行了一项调查，以描述目前的术前和术后护理，估计其成本，并探讨财务影响的差异。方法：向每个卫生中心分发一份调查表。描述性统计用于显示每位患者的平均费用以及95%置信区间和费用范围。结果：结果显示，每位患者的术前服务费用相差近五倍（226英镑至1071英镑），术后服务费用相差三倍多（259英镑至896英镑）。结论：缺乏证据基础，也没有明确的要求来评估减肥手术服务，以确定手术前和手术后的护理途径，从而最大限度地改善健康结果，并保持成本效益。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Obesity Medicine-Health Policy

CiteScore

5.00

自引率

0.00%

发文量

期刊介绍： Cesation (2019). Information not localized.