A STUDY ON CARDIOTHORACIC VASCULAR DEPARTMENT IN A TERTIARY CARE TEACHING HOSPITAL WITH SPECIAL FOCUS ON COSTING OF PROCEDURES
Authors: Femi Navas M , SHILPASHREE CR AND MAMATHA HK

ABSTRACT
The prevalence of non-communicable diseases (NCDs) is increasing alarmingly across the globe and the burden of the disease was higher in developed countries. The incidence is increasing in developing and the underdeveloped countries owing to lifestyle changes and stress. (Cardiovascular disease incidence and prevalence statistics in the world and India to be included here) Even though it is more common in the urban population, the prevalence in the rural population is also increasing. Cardiac catheterization is an important procedure in the diagnosis and management of coronary artery disease and other cardiovascular disorders. Accurately understanding the cost of healthcare delivery important in the management of costing challenges facing the health care services in the current scenario. Unit cost calculation and activity based costing information improves the knowledge regarding the organization process and about unused capacity resources, so that managers can make decisions regarding use of resources. Calculation of accurate unit costing of Coronary artery bypass grafting (CABG), Aortic valve replacement (AVR) and Mitral valve replacement (MVR) is beneficial to improve the efficiency of the cardiology department. Activity based costing was used to find out the unit cost of coronary angiography and coronary angioplasty, with the cost drivers like, Direct costs, Indirect costs. The results of the study provide improved understanding about the organizational process of the cardiac Cath lab. The study also gives cost information of the most common services in the cardiac oath lab which will be helpful for future decision making regarding pricing of services. This will improve cost awareness among professionals in the field of healthcare and help the hospital managers to provide healthcare services at least possible cost, maintaining high level of quality. This study will be useful to understand the operations and financial impact in setting up and running of a cardio thoracic vascular surgery department. This study was conceptualized to analyze the unit cost per procedure of Coronary artery bypass grafting (CABG), Aortic valve replacement (AVR) and Mitral valve replacement (MVR) and make recommendations for enhancing the functional efficiency of the CTVS department by effective cost control. This study will definitely help to provide scientific information on attaining high standards of efficiency in CTVS procedures by minimizing the wastage, optimizing the resources, providing effective cost control and enabling high standards of quality. Key words: CARDIOTHORACIC VASCULAR, Coronary artery bypass grafting (CABG), Aortic valve replacement (AVR) and Mitral valve replacement (MVR), cost analysis
Publication date: 01/12/2021
    https://ijbpas.com/pdf/2021/December/MS_IJBPAS_2021_DEC_SPCL_20321.pdf
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https://doi.org/10.31032/IJBPAS/2021/10.12.2032