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Profit-Influencing Factors in Orthopedic Surgery: An Analysis of Costs and Reimbursements
The aging population and the associated demand for orthopedic surgeries are increasing health costs. Although the Diagnostic Related Groups (DRG) system was introduced to offer incentives for hospitals, concerns remain that reimbursements for older and frail patients do not cover all hospital expens...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8998626/ https://www.ncbi.nlm.nih.gov/pubmed/35410007 http://dx.doi.org/10.3390/ijerph19074325 |
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author | Rohrer, Felix Farokhnia, Aresh Nötzli, Hubert Haubitz, Frederik Hermann, Tanja Gahl, Brigitta Limacher, Andreas Brügger, Jan |
author_facet | Rohrer, Felix Farokhnia, Aresh Nötzli, Hubert Haubitz, Frederik Hermann, Tanja Gahl, Brigitta Limacher, Andreas Brügger, Jan |
author_sort | Rohrer, Felix |
collection | PubMed |
description | The aging population and the associated demand for orthopedic surgeries are increasing health costs. Although the Diagnostic Related Groups (DRG) system was introduced to offer incentives for hospitals, concerns remain that reimbursements for older and frail patients do not cover all hospital expenses. We investigated further: (1) Does age influence net financial results in orthopedic surgery? (2) Are there patient or surgical factors that influence results? This retrospective, monocentric study compares costs and reimbursements for orthopedic patients in a tertiary care hospital in Switzerland between 2015 and 2017. The data of 1230 patients were analyzed. Overall, the net results for the hospital were positive, despite 19.5% of patients being treated at a loss. We did not find any correlation between age and profitability (p = 0.61). Patient-related factors associated with financial losses were female sex (p < 0.001) and diabetes (p = 0.013). Patients free of serious comorbidities (p = 0.012) or with a higher cost weight (p < 0.001) were more often profitable. A longer length of stay was associated with higher losses (p < 0.001). This is the first study to address the Swiss DRG reimbursement system in a broad orthopedic population, while also analyzing specific patient and surgical factors. Overall, the reimbursement system is fair, but could better account for certain interventions. |
format | Online Article Text |
id | pubmed-8998626 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-89986262022-04-12 Profit-Influencing Factors in Orthopedic Surgery: An Analysis of Costs and Reimbursements Rohrer, Felix Farokhnia, Aresh Nötzli, Hubert Haubitz, Frederik Hermann, Tanja Gahl, Brigitta Limacher, Andreas Brügger, Jan Int J Environ Res Public Health Article The aging population and the associated demand for orthopedic surgeries are increasing health costs. Although the Diagnostic Related Groups (DRG) system was introduced to offer incentives for hospitals, concerns remain that reimbursements for older and frail patients do not cover all hospital expenses. We investigated further: (1) Does age influence net financial results in orthopedic surgery? (2) Are there patient or surgical factors that influence results? This retrospective, monocentric study compares costs and reimbursements for orthopedic patients in a tertiary care hospital in Switzerland between 2015 and 2017. The data of 1230 patients were analyzed. Overall, the net results for the hospital were positive, despite 19.5% of patients being treated at a loss. We did not find any correlation between age and profitability (p = 0.61). Patient-related factors associated with financial losses were female sex (p < 0.001) and diabetes (p = 0.013). Patients free of serious comorbidities (p = 0.012) or with a higher cost weight (p < 0.001) were more often profitable. A longer length of stay was associated with higher losses (p < 0.001). This is the first study to address the Swiss DRG reimbursement system in a broad orthopedic population, while also analyzing specific patient and surgical factors. Overall, the reimbursement system is fair, but could better account for certain interventions. MDPI 2022-04-04 /pmc/articles/PMC8998626/ /pubmed/35410007 http://dx.doi.org/10.3390/ijerph19074325 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Rohrer, Felix Farokhnia, Aresh Nötzli, Hubert Haubitz, Frederik Hermann, Tanja Gahl, Brigitta Limacher, Andreas Brügger, Jan Profit-Influencing Factors in Orthopedic Surgery: An Analysis of Costs and Reimbursements |
title | Profit-Influencing Factors in Orthopedic Surgery: An Analysis of Costs and Reimbursements |
title_full | Profit-Influencing Factors in Orthopedic Surgery: An Analysis of Costs and Reimbursements |
title_fullStr | Profit-Influencing Factors in Orthopedic Surgery: An Analysis of Costs and Reimbursements |
title_full_unstemmed | Profit-Influencing Factors in Orthopedic Surgery: An Analysis of Costs and Reimbursements |
title_short | Profit-Influencing Factors in Orthopedic Surgery: An Analysis of Costs and Reimbursements |
title_sort | profit-influencing factors in orthopedic surgery: an analysis of costs and reimbursements |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8998626/ https://www.ncbi.nlm.nih.gov/pubmed/35410007 http://dx.doi.org/10.3390/ijerph19074325 |
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