Eleanor Grieve, Ruth M Mackenzie, Jane Munro, Joanne O'Donnell, Sally Stewart, Abdulmajid Ali, Duff Bruce, Miranda Trevor, Jennifer Logue
{"title":"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。","authors":"Eleanor Grieve, Ruth M Mackenzie, Jane Munro, Joanne O'Donnell, Sally Stewart, Abdulmajid Ali, Duff Bruce, Miranda Trevor, Jennifer Logue","doi":"10.1186/s40608-018-0223-3","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":37440,"journal":{"name":"BMC Obesity","volume":"5 ","pages":"43"},"PeriodicalIF":0.0000,"publicationDate":"2018-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307243/pdf/","citationCount":"0","resultStr":"{\"title\":\"Variations in bariatric surgical care pathways: a national costing study on the variability of services and impact on costs.\",\"authors\":\"Eleanor Grieve, Ruth M Mackenzie, Jane Munro, Joanne O'Donnell, Sally Stewart, Abdulmajid Ali, Duff Bruce, Miranda Trevor, Jennifer Logue\",\"doi\":\"10.1186/s40608-018-0223-3\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":37440,\"journal\":{\"name\":\"BMC Obesity\",\"volume\":\"5 \",\"pages\":\"43\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2018-12-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307243/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMC Obesity\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1186/s40608-018-0223-3\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2018/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q1\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Obesity","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s40608-018-0223-3","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2018/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"Medicine","Score":null,"Total":0}
Variations in bariatric surgical care pathways: a national costing study on the variability of services and impact on costs.
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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