PHÂN TÍCH CHI PHÍ PHẪU THUẬT Ổ BỤNG TẠI BỆNH VIỆN ĐẠI HỌC Y DƯỢC TP.HỒ CHÍ MINH VÀ BỆNH VIỆN CHỢ RẪY THEO QUAN ĐIỂM NGƯỜI CHI TRẢ NĂM 2020

Abstract

Surgery takes important role in the healthcare system, from which abdominal surgery (AS) is one of the common surgical procedures. Surgery costs (SC) has become burden on the health budget, in which the cost for AS has not been fully studied, especially for countries with limited healthcare budget such as Vietnam. This study analyzes AS costs at University Medical Center HCMC (UMCH) and Cho Ray Hospital (CRH) with cross-sectional descriptive study on AS patients who met the selecting criteria from October 2020 to March 2021 at UMCH and CRH. Costs were assessed from the payer's perspective include direct medical costs, non-medical direct costs and indirect costs. Data is collected based on medical examination and treatment payment slips, cost statements, survey forms of AS. A study on 201 AS patients recorded that total SC has a median value of 31,19 million VND (IQR: 23,92 million – 45,63 million VND), in which direct medical costs dominated with median value of 25,83 million VND (IQR: 20,52 million – 39,22 million VND), non-medical direct costs – 1,03 million VND (IQR: 0,62 million – 1,84 million VND), indirect costs – 2,27 million VND (IQR: 1,31 million – 4,09 million VND). The study found that the SC paid by patients was higher than the SC paid by health insurance (70,23% vs 29,77%, respectively). Research on related factors to forecast SC and research at lower-level hospitals should be carried out in the future in order to complete a full picture of SC, creating a basis for proposing solutions reduce the economic burden of the intervention.