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Economic study of dialysis using the cost-per-procedure method according to clinical protocols
Estudio económico de la diálisis por el método de coste por procedimiento ajustado a protocolo clínico
Ana Rodríguez-Carmona, Alfonso Castro Ramallo, Miguel Pérez Fontán, Modesta Mojón Barcia
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        "resumen" => "Studies analyzing the economic cost of dialysis therapy have raised a considerable interest in the nephrologic community, both inside and outside our country. The objective of the present study was to approach this question from a different point of view, by applying the cost-per-procedure method, according to clinical protocol, to all the routine clinical procedures in our dialysis unit (both Hemodialysis and Peritoneal Dialysis). We analyzed 68 routine protocols (42 for Hemodialysis and 26 for peritoneal Dialysis), carrying out a pormenorized study of all the components of the economic cost of each procedure (personnel, laboratory, surgical and sanitary material, drugs and other concepts). We calculated the final cost of all these procedures after individualizing the different components of the economic spends, with the informatic support of the management department of our center, and in coordination with the data bases of the Pharmacy and General Supplies units. Although the initial implementation of this method is tedious, it subsequently allows to analyze the global cost of therapy in the Unit, as also the cost of certain subsets, or even particular patients, in a simple and flexible way. Moreover, the system is easy to update, as clinical protocols undergo changes or the economic cost of individual components vary. Finally, this method is a useful tool at the time of comparing the cost of clinical procedures in diferent centres, according to their varying clinical protocols, economic spends and clinical results. "
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        "resumen" => "El estudio de costes de diálisis ha generado un importante interés entre los nefrólogos suscitando estudios comparativos entre las diferentes modalidades dentro (1,2) y fuera de nuestro país( 3, 4, 5). El objetivo del presente trabajo es describir el método de análisis de coste por procedimiento ajustado a protocolo clínico de todos los protocolos realizados en nuestra Unidad de Diálisis (hemodiálisis y diálisis peritoneal). Analizamos un total de 68 protocolos realizados de manera rutinaria en nuestra Unidad (42 en Hemodiálisis y 26 en Diálisis Peritoneal) con estudio pormenorizado de todos los componentes del coste (personal, laboratorio, material quirúrgico y sanitario, fármacos y otros conceptos). Tras la descripción de los diferentes componentes del coste y mediante un trabajo informático del área de gestión (conectada a los servicios de Farmacia y Compras de Suministros) se calcularon los costes de cada uno de los procedimientos. Este método, laborioso en su implantación inicial, genera posteriormente, de forma sencilla, la posibilidad de estudio de los costes globales de la Unidad y de cada enfermo en particular. Así mismo, resulta fácilmente actualizable según cambien los protocolos y los costes de cada uno de los componentes del mismo. Por otro lado, resulta una herramienta clave para comparar los costes entre los diferentes hospitales según los protocolos y resultados de cada uno. Palabras clave: análisis de coste, procedimiento ajustado a protocolo clínico, Hemodiálisis, Diálisis Peritoneal. "
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Article information
ISSN: 20132514
Original language: English
DOI:
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