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Pregled bibliografske jedinice broj: 396376

Ultrasound screening of the neonatal hip: cost-benefit analysis


Bralić, Irena; Vrdoljak, Javor; Kovačić, Luka
Ultrasound screening of the neonatal hip: cost-benefit analysis // Croatian Medical Journal, 42 (2001), 2; 171-174 (međunarodna recenzija, članak, znanstveni)


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Naslov
Ultrasound screening of the neonatal hip: cost-benefit analysis

Autori
Bralić, Irena ; Vrdoljak, Javor ; Kovačić, Luka

Izvornik
Croatian Medical Journal (0353-9504) 42 (2001), 2; 171-174

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
cost-benefit analysis; Croatia; hip dislocation; congenital; infant; neonatal screening; ultrasonography

Sažetak
Aim. To explore the economic justification for introducing ultrasound screening for developmental dysplasia of the hip in Croatia. Methods. The analysis was based on the two formulas: that cost-benefit equals benefit/cost, and that net benefit equals benefit minus cost. Screening costs were expressed as a sum of training costs and fee for ultrasound screening of neonates. The neonatologists' working hours and utilization of ultrasound instruments were expressed by multiplying the number of infants born per year in Croatia (N = 47, 792) with the standard time needed for one examination and then dividing the product by the number of employed neonatologists (N = 54) and number of ultrasound instruments (N = 58). The benefit was expressed as a late case treatment costs and screening costs ratio. Savings, which would have resulted from the reduction in expected treatment costs of patients with hip problems at later age, represent the indirect benefit. Results. Total hip screening costs would have amounted to US$329, 537.80, including the training costs of US$31, 035.90. On the average, a neonatologist would spend 71.4 hours screening per year, whereas the instrument utilization would be 64.7 hours. An ultrasound-screening program would save annually US$195, 336.50, compared with the existing diagnostic approach. The treatment costs without ultrasound screening were 1.6 times higher than the screening costs. Hospital treatment costs for 165 patients needing endoprosthesis would cover the total screening program in the whole country. Conclusion. It is economically justified to introduce ultrasound screening for developmental dysplasia of the hip in neonates in Croatia, a country with transitional and developing economy.

Izvorni jezik
Engleski

Znanstvena područja
Javno zdravstvo i zdravstvena zaštita



POVEZANOST RADA


Ustanove:
Medicinski fakultet, Zagreb

Profili:

Avatar Url Javor Vrdoljak (autor)

Avatar Url Luka Kovačić (autor)

Avatar Url Irena Bralić (autor)


Citiraj ovu publikaciju

Bralić, Irena; Vrdoljak, Javor; Kovačić, Luka
Ultrasound screening of the neonatal hip: cost-benefit analysis // Croatian Medical Journal, 42 (2001), 2; 171-174 (međunarodna recenzija, članak, znanstveni)
Bralić, I., Vrdoljak, J. & Kovačić, L. (2001) Ultrasound screening of the neonatal hip: cost-benefit analysis. Croatian Medical Journal, 42 (2), 171-174.
@article{article, year = {2001}, pages = {171-174}, keywords = {cost-benefit analysis, Croatia, hip dislocation, congenital, infant, neonatal screening, ultrasonography}, journal = {Croatian Medical Journal}, volume = {42}, number = {2}, issn = {0353-9504}, title = {Ultrasound screening of the neonatal hip: cost-benefit analysis}, keyword = {cost-benefit analysis, Croatia, hip dislocation, congenital, infant, neonatal screening, ultrasonography} }
@article{article, year = {2001}, pages = {171-174}, keywords = {cost-benefit analysis, Croatia, hip dislocation, congenital, infant, neonatal screening, ultrasonography}, journal = {Croatian Medical Journal}, volume = {42}, number = {2}, issn = {0353-9504}, title = {Ultrasound screening of the neonatal hip: cost-benefit analysis}, keyword = {cost-benefit analysis, Croatia, hip dislocation, congenital, infant, neonatal screening, ultrasonography} }

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE





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