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Tytuł:
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The role of medical devices in influencing in-hospital sustainability: an analysis of expenditure in 2019 vs DRG reimbursement according to major medical specialties in a region of middle Italy.
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Autorzy:
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Messori A; HTA Unit, Regional Health Service , Firenze, Italy.
Trippoli S; HTA Unit, Regional Health Service , Firenze, Italy.
Marinai C; HTA Unit, Regional Health Service , Firenze, Italy.
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Źródło:
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Expert review of medical devices [Expert Rev Med Devices] 2020 Oct; Vol. 17 (10), pp. 1013-1016. Date of Electronic Publication: 2020 Jul 13.
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Typ publikacji:
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Journal Article; Review
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Język:
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English
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Imprint Name(s):
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Publication: 2015- : Abingdon, Oxford : Taylor & Francis
Original Publication: London : Future Drugs Ltd.
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MeSH Terms:
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Health Expenditures*
Hospitals*
Insurance, Health, Reimbursement*
Medicine*
Diagnosis-Related Groups/*economics
Equipment and Supplies/*economics
Humans ; Italy
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Contributed Indexing:
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Keywords: DRG; clinical activity; expenditure vs reimbursement medical devices; hospital expenditure; sustainability
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Entry Date(s):
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Date Created: 20200630 Date Completed: 20201217 Latest Revision: 20220418
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Update Code:
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20240105
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DOI:
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10.1080/17434440.2020.1787828
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PMID:
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32594781
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Introduction: Very limited information exists from Italian hospitals about the utilization and expenditure of medical devices. The ratio expenditure/DRG reimbursement (expressed as a percentage) is a useful parameter, particularly when it is separately calculated for each individual Azienda and, within each Azienda, according to the medical discipline.
Areas Covered: To generate benchmarks in this area, we have made reference to the expenditure incurred for medical devices from January to June 2019 in all hospitals of the Tuscany region. These expenditures divided by medical discipline have been compared with the DRG reimbursements that hospitals receive from our Region for the same disciplines. This benchmark is represented by percent ratio expenditure/reimbursement for each of the eight Aziende and, within each Azienda, according to the medical specialty.
Expert Opinion: These percentages indicate, for each medical discipline, to what extent medical devices typically consume the reimbursement resulting from the DRGs. These benchmarks facilitate the interpretation of values estimated locally. Determinants leading to 'excessive' values (e.g. >100%) of this parameter can include an extensive use of costly devices, a high frequency of non-remunerative procedures, the presence of inappropriate treatments, the need to update specific DRGs, deficiencies in coding expenditures and procedures, and so on.