CHI PHÍ PHẪU THUẬT Ổ BỤNG: NGHIÊN CỨU ĐA TRUNG TÂM VIỆT NAM

Abstract

Every year, about 3.7 million people are at risk of economic catastrophe if they need surgery and 22% of those accessing to medical treatment face financial hardship in paying for their operation expenses. An analysis of surgical costs in Vietnam is necessary as a basis for developing appropriate solutions to minimize the economic burden in surgical treatment for both patients and the healthcare system. A multi-center cross-sectional descriptive study investigating direct and indirect costs of abdominal surgery at 5 hospitals in Vietnam from March to September 2020 based on surgical information and medical records. Data were statistically analyzed using SPSS 20.0 software with 95% confidence and appropriate statistical tests. The study sample included 361 patients with the average age of 53.6 ± 17.7; the male:female ratio of 1.11:1 and the average monthly income of 6,814,792 ± 362,608 VND. Total surgical cost was 13,627,112 ± 11,999,413 VND, accounting for 39.6% of total treatment cost. In which, the cost of anesthetics is worth 703,039 ± 340,901 VND, accounting for 5.2% of the cost of surgery and 2.0% of the total cost of treatment. The cost of sevoflurane according to the payment slip is 548,806 ± 312,921 VND, accounting for 4.0% of the surgical cost and 1.6% of the total cost of the treatment. The actual cost of sevoflurane used in the surgery is 371,383 ± 209,307 VND.