Medico-economic analysis of a neurosurgery department at a university hospital

Analyse médico-économique d'un service de neurochirurgie en centre hospitalier et universitaire

Jean-Jacques Lemaire (), Cyril Delom, Aurélien Coste, Toufic Khalil, Jean-Christophe Jourdy, Bénédicte Pontier, Jean Gabrillargues, Denis Sinardet, Abdelkader Chabanne, Viorel Achim, Laurent Sakka, Jerome Coste (), Jean Chazal, André Salagnac, Guillaume Coll () and Bernard Irthum
Additional contact information
Jean-Jacques Lemaire: Service Neurochirurgie A et B [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand - MNDO - Pôle Médecine interne, Neurologie, Neurochirurgie, Ophtalmologie [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand
Cyril Delom: Direction des Finances - CHU Clermont-Ferrand
Aurélien Coste: Service Neurochirurgie A et B [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand - MNDO - Pôle Médecine interne, Neurologie, Neurochirurgie, Ophtalmologie [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand
Toufic Khalil: Service Neurochirurgie A et B [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand - MNDO - Pôle Médecine interne, Neurologie, Neurochirurgie, Ophtalmologie [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand
Jean-Christophe Jourdy: DIM - Département d'Information Médicale [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand
Bénédicte Pontier: Service Neurochirurgie A et B [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand - MNDO - Pôle Médecine interne, Neurologie, Neurochirurgie, Ophtalmologie [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand
Jean Gabrillargues: Service Neurochirurgie A et B [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand - MNDO - Pôle Médecine interne, Neurologie, Neurochirurgie, Ophtalmologie [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand
Denis Sinardet: Service Neurochirurgie A et B [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand - MNDO - Pôle Médecine interne, Neurologie, Neurochirurgie, Ophtalmologie [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand
Abdelkader Chabanne: Service Neurochirurgie A et B [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand - MNDO - Pôle Médecine interne, Neurologie, Neurochirurgie, Ophtalmologie [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand
Viorel Achim: Service Neurochirurgie A et B [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand - MNDO - Pôle Médecine interne, Neurologie, Neurochirurgie, Ophtalmologie [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand
Laurent Sakka: Service Neurochirurgie A et B [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand - MNDO - Pôle Médecine interne, Neurologie, Neurochirurgie, Ophtalmologie [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand
Jerome Coste: Service Neurochirurgie A et B [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand - MNDO - Pôle Médecine interne, Neurologie, Neurochirurgie, Ophtalmologie [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand
Jean Chazal: Service Neurochirurgie A et B [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand - MNDO - Pôle Médecine interne, Neurologie, Neurochirurgie, Ophtalmologie [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand
André Salagnac: DRCI - Direction de la Recherche Clinique et de l’Innovation [CHU Clermont-Ferrand] - CHU Clermont-Ferrand
Guillaume Coll: Service Neurochirurgie A et B [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand - MNDO - Pôle Médecine interne, Neurologie, Neurochirurgie, Ophtalmologie [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand
Bernard Irthum: Service Neurochirurgie A et B [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand - MNDO - Pôle Médecine interne, Neurologie, Neurochirurgie, Ophtalmologie [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand

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Abstract: Objective: Economic and societal constraints require to take into account the economic dimension and medical performance of hospital departments. We carried out a self-assessment study, which we thought could be useful to share with the neurosurgical community. Material and methods: Care and research activities were assessed from 2009 to 2013. We used institutional and assessment-body parameters in order to describe activities and perform a financial evaluation. It was a retrospective descriptive study based on the guidelines of the DHOS/O4 circular No. 2007/390 of October 29, 2007. Results: The average annual, analytic income statement was + 1.39 millions euros, for 63 beds with a 92% occupancy rate, including 6.7 full-time equivalent neurosurgeons (and assistants), for 2553 patients and 1975 surgeries. The average mortality rate was 2.74%. The annual mean length of stay was 6.82 days. Per year, on average 15.6% of patients were admitted in emergency and 76.9% returned home. The annual, act-related-pricing and publication-related incomes represented 77% and 0.6%, respectively of the total funding. Difficulties to find downstream beds for the most severe patients induced 1401 "waiting days" in 2012. Conclusion: Medico-economic analysis of a neurosurgery department at a university hospital was useful in order to take into account the care, teaching and research activities, as well as its related financial value.

Keywords: Research; Care; Neurosurgery; Economy; Assessment; Performance; Neurochirurgie; Soin; Recherche; Économie; Évaluation (search for similar items in EconPapers)
Date: 2015
Note: View the original document on HAL open archive server: https://uca.hal.science/hal-01558825
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Published in Neurochirurgie, 2015, 61 (1), pp.2-15. ⟨10.1016/j.neuchi.2014.11.011⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-01558825

DOI: 10.1016/j.neuchi.2014.11.011

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