Background: Different types of labour need different resources. Subsequently, different costs should be expected. Aim: The aim of the study was to determine costs of planned Caesarean section (Csection) in relation to costs of spontaneous (SVD) and induced vaginal (IVD) delivery. Methods: Retrospective study was conducted for the period January 1st - December 31st, 2010. Database of Health Insurance Fund of Republic of Serbia was used as a data source. Direct medical costs of labor were estimated for mother/newborn pair. Results: The sample was consisted of 99 women where 46.5% had SVD, 28.3% IVD and 25.2% C-section. The average costs of labor, regardless of method, were 417.02+284.14 EUR. Costs of C-section were higher compare to SVD (640.18+ 240.04 vs. 243.27+131.70 EUR, p lt 0.05) and IVD (640.18+240.04 vs. 497.10 + 327.91 EUR, p lt 0.05). Conclusion: Considering high costs of C-section, it is necessary to review such clinical practice for the purpose of optimizing the use of resour...ces.
Uvod: Različiti tipovi porođaja zahtevaju različite resurse. Shodno tome, mogu se očekivati i različiti troškovi. Cilj: Studija je sprovedena sa ciljem da se utvrdi visina troškova carskog reza (CR) u odnosu na spontani (SVP) i indukovani (IVP) vaginalni porođaj. Metode: Retrospektivna studija je sprovedena za period 1. Januar - 31. Decembar, 2010. Baza podataka Republičkog fonda za zdravstveno osiguranje Republike Srbije korišćena je kao izvor podataka. Određivani su direktni medicinski troškovi za par majka/novorođenče. Rezultati: Uzorak se sastojao od 99 žena od kojih je 46,5% imalo SVP, 28,3% IVP i 25,2% carski rez. Prosečni troškovi porođaja, bez obzira na tip, iznosili su 417,02+284,14EUR. Troškovi carskog reza bili su viši u odnosu na SVP (640,18+240,04 prema 243,27+131,70 EUR, p lt 0,05) i IVP (640,18+240,04 prema 497.10+ 327.91 EUR, p lt 0,05). Zaključak: Uzimajući u obzir visoke troškove carskog reza, neophodno je izvršiti reviziju aktuelne kliničke prakse radi optimizacije u...potrebe resursa.
Keywords:
costs and cost analysis / obstetric delivery / cesarean section / troškovi i analiza troškova / porođaj / carski rez
TY - JOUR
AU - Odalović, Marina
AU - Lakić, Dragana
AU - Tadić, Ivana
AU - Tasić, Ljiljana
AU - Petrova, Guenka
PY - 2013
UR - https://farfar.pharmacy.bg.ac.rs/handle/123456789/2038
AB - Background: Different types of labour need different resources. Subsequently, different costs should be expected. Aim: The aim of the study was to determine costs of planned Caesarean section (Csection) in relation to costs of spontaneous (SVD) and induced vaginal (IVD) delivery. Methods: Retrospective study was conducted for the period January 1st - December 31st, 2010. Database of Health Insurance Fund of Republic of Serbia was used as a data source. Direct medical costs of labor were estimated for mother/newborn pair. Results: The sample was consisted of 99 women where 46.5% had SVD, 28.3% IVD and 25.2% C-section. The average costs of labor, regardless of method, were 417.02+284.14 EUR. Costs of C-section were higher compare to SVD (640.18+ 240.04 vs. 243.27+131.70 EUR, p lt 0.05) and IVD (640.18+240.04 vs. 497.10 + 327.91 EUR, p lt 0.05). Conclusion: Considering high costs of C-section, it is necessary to review such clinical practice for the purpose of optimizing the use of resources.
AB - Uvod: Različiti tipovi porođaja zahtevaju različite resurse. Shodno tome, mogu se očekivati i različiti troškovi. Cilj: Studija je sprovedena sa ciljem da se utvrdi visina troškova carskog reza (CR) u odnosu na spontani (SVP) i indukovani (IVP) vaginalni porođaj. Metode: Retrospektivna studija je sprovedena za period 1. Januar - 31. Decembar, 2010. Baza podataka Republičkog fonda za zdravstveno osiguranje Republike Srbije korišćena je kao izvor podataka. Određivani su direktni medicinski troškovi za par majka/novorođenče. Rezultati: Uzorak se sastojao od 99 žena od kojih je 46,5% imalo SVP, 28,3% IVP i 25,2% carski rez. Prosečni troškovi porođaja, bez obzira na tip, iznosili su 417,02+284,14EUR. Troškovi carskog reza bili su viši u odnosu na SVP (640,18+240,04 prema 243,27+131,70 EUR, p lt 0,05) i IVP (640,18+240,04 prema 497.10+ 327.91 EUR, p lt 0,05). Zaključak: Uzimajući u obzir visoke troškove carskog reza, neophodno je izvršiti reviziju aktuelne kliničke prakse radi optimizacije upotrebe resursa.
PB - Udruženje hirurga Jugoslavije, Beograd
T2 - Acta chirurgica iugoslavica
T1 - How much do we pay for caesarean section: A pilot study in Serbia
T1 - Koliko plaćamo za carski rez - pilot studija u Srbiji
VL - 60
IS - 1
SP - 47
EP - 51
DO - 10.2298/ACI1301047O
ER -
@article{
author = "Odalović, Marina and Lakić, Dragana and Tadić, Ivana and Tasić, Ljiljana and Petrova, Guenka",
year = "2013",
abstract = "Background: Different types of labour need different resources. Subsequently, different costs should be expected. Aim: The aim of the study was to determine costs of planned Caesarean section (Csection) in relation to costs of spontaneous (SVD) and induced vaginal (IVD) delivery. Methods: Retrospective study was conducted for the period January 1st - December 31st, 2010. Database of Health Insurance Fund of Republic of Serbia was used as a data source. Direct medical costs of labor were estimated for mother/newborn pair. Results: The sample was consisted of 99 women where 46.5% had SVD, 28.3% IVD and 25.2% C-section. The average costs of labor, regardless of method, were 417.02+284.14 EUR. Costs of C-section were higher compare to SVD (640.18+ 240.04 vs. 243.27+131.70 EUR, p lt 0.05) and IVD (640.18+240.04 vs. 497.10 + 327.91 EUR, p lt 0.05). Conclusion: Considering high costs of C-section, it is necessary to review such clinical practice for the purpose of optimizing the use of resources., Uvod: Različiti tipovi porođaja zahtevaju različite resurse. Shodno tome, mogu se očekivati i različiti troškovi. Cilj: Studija je sprovedena sa ciljem da se utvrdi visina troškova carskog reza (CR) u odnosu na spontani (SVP) i indukovani (IVP) vaginalni porođaj. Metode: Retrospektivna studija je sprovedena za period 1. Januar - 31. Decembar, 2010. Baza podataka Republičkog fonda za zdravstveno osiguranje Republike Srbije korišćena je kao izvor podataka. Određivani su direktni medicinski troškovi za par majka/novorođenče. Rezultati: Uzorak se sastojao od 99 žena od kojih je 46,5% imalo SVP, 28,3% IVP i 25,2% carski rez. Prosečni troškovi porođaja, bez obzira na tip, iznosili su 417,02+284,14EUR. Troškovi carskog reza bili su viši u odnosu na SVP (640,18+240,04 prema 243,27+131,70 EUR, p lt 0,05) i IVP (640,18+240,04 prema 497.10+ 327.91 EUR, p lt 0,05). Zaključak: Uzimajući u obzir visoke troškove carskog reza, neophodno je izvršiti reviziju aktuelne kliničke prakse radi optimizacije upotrebe resursa.",
publisher = "Udruženje hirurga Jugoslavije, Beograd",
journal = "Acta chirurgica iugoslavica",
title = "How much do we pay for caesarean section: A pilot study in Serbia, Koliko plaćamo za carski rez - pilot studija u Srbiji",
volume = "60",
number = "1",
pages = "47-51",
doi = "10.2298/ACI1301047O"
}
Odalović, M., Lakić, D., Tadić, I., Tasić, L.,& Petrova, G.. (2013). How much do we pay for caesarean section: A pilot study in Serbia. in Acta chirurgica iugoslavica
Udruženje hirurga Jugoslavije, Beograd., 60(1), 47-51.
https://doi.org/10.2298/ACI1301047O
Odalović M, Lakić D, Tadić I, Tasić L, Petrova G. How much do we pay for caesarean section: A pilot study in Serbia. in Acta chirurgica iugoslavica. 2013;60(1):47-51.
doi:10.2298/ACI1301047O .
Odalović, Marina, Lakić, Dragana, Tadić, Ivana, Tasić, Ljiljana, Petrova, Guenka, "How much do we pay for caesarean section: A pilot study in Serbia" in Acta chirurgica iugoslavica, 60, no. 1 (2013):47-51,
https://doi.org/10.2298/ACI1301047O . .
