How much do we pay for caesarean section: A pilot study in Serbia
Koliko plaćamo za carski rez - pilot studija u Srbiji
Apstrakt
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.
Ključne reči:
costs and cost analysis / obstetric delivery / cesarean section / troškovi i analiza troškova / porođaj / carski rezIzvor:
Acta chirurgica iugoslavica, 2013, 60, 1, 47-51Izdavač:
- Udruženje hirurga Jugoslavije, Beograd
Institucija/grupa
PharmacyTY - 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 . .