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Adequacy of the Italian National Tariff for Orthognathic Surgery: A Cost Analysis Using the Activity Based Costing (ABC) Method.
Tewfik, Karim; Chiarelli, Pasquale; Battaglia, Salvatore; Catanzaro, Susanna; Pederneschi, Nicola; Copelli, Chiara; Manfuso, Alfonso; Cassano, Lazzaro; Longo, Francesco.
Afiliación
  • Tewfik K; Maxillofacial Surgery Unit, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo.
  • Chiarelli P; Management and Control Unit, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Foggia.
  • Battaglia S; Maxillofacial Surgery Unit, Policlinico S. Orsola, Bologna, Italy.
  • Catanzaro S; Maxillofacial Surgery Unit, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo.
  • Pederneschi N; Maxillofacial Surgery Unit, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo.
  • Copelli C; Maxillofacial Surgery Unit, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo.
  • Manfuso A; Maxillofacial Surgery Unit, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo.
  • Cassano L; Maxillofacial Surgery Unit, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo.
  • Longo F; Maxillofacial Surgery Unit, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo.
J Craniofac Surg ; 32(3): 840-843, 2021 May 01.
Article en En | MEDLINE | ID: mdl-32868720
ABSTRACT: The reduced economic resources in health care and the consequent spending review have brought great interest in surgical costs. The aim of the study is to determine direct hospital costs for Orthognathic procedures using the Activity based costing method and evaluate the adequacy of the refund provided by the Italian National Health Service. From January 2017 to December 2017 9 consecutive patients underwent the following Orthognathic procedures at IRCCS Casa Sollievo della Sofferenza (San Giovanni Rotondo, Italy): bimaxillary osteotomy (n = 7), Le Fort I osteotomy (n = 1) and Bilateral Sagittal Split Osteotomy (BSSO) (n = 1). Activity based costing was used to obtain costs of each single hospitalization split into surgery, instay, and services. The mean total cost for a bimaxillary osteotomy was 7596.40€. We observed a total cost of 3925.00€ for Le Fort I osteotomy and of 4334.50€ for BSSO. The refund of 4378.00€ provided by the Italian National Health Service system for Orthognathic surgery seems insufficient to cover costs of bimaxillary osteotomy but consistent for single osteotomy (Le Fort I or BSSO).
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Procedimientos Quirúrgicos Ortognáticos / Cirugía Ortognática Tipo de estudio: Health_economic_evaluation Límite: Humans País/Región como asunto: Europa Idioma: En Revista: J Craniofac Surg Asunto de la revista: ODONTOLOGIA Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Procedimientos Quirúrgicos Ortognáticos / Cirugía Ortognática Tipo de estudio: Health_economic_evaluation Límite: Humans País/Región como asunto: Europa Idioma: En Revista: J Craniofac Surg Asunto de la revista: ODONTOLOGIA Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos