A multicenter micro-costing analysis of flexible cystoscopic procedures in Korea
"Purpose: This study aims to develop and implement an economic evaluation using a micro-costing approach to provide a precise and transparent analysis of the direct costs of cystoscopic procedures in Korean hospitals. The study seeks to identify key cost components and evaluate whether current...
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| Format: | Article |
| Language: | English |
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Korean Urological Association
2025-01-01
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| Series: | Investigative and Clinical Urology |
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| Online Access: | https://www.icurology.org/pdf/10.4111/icu.20240289 |
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| author | Uiemo Je Woong Kyu Han Hee-Kyo Jeong Hankil Lee Kwang Suk Lee Sung Ku Kang Byeong-Ju Kwon Sung-Uk Kuh |
| author_facet | Uiemo Je Woong Kyu Han Hee-Kyo Jeong Hankil Lee Kwang Suk Lee Sung Ku Kang Byeong-Ju Kwon Sung-Uk Kuh |
| author_sort | Uiemo Je |
| collection | DOAJ |
| description | "Purpose: This study aims to develop and implement an economic evaluation using a micro-costing approach to provide a precise and transparent analysis of the direct costs of cystoscopic procedures in Korean hospitals. The study seeks to identify key cost components and evaluate whether current reimbursement rates accurately reflect these direct costs.
Materials and Methods: Significant variations in cost items were identified across different studies. An economic evaluation was conducted using a micro-costing methodology for the cost analysis of cystoscopic procedures, developed through literature review, data collection from studies, and expert consultations.
Results: Gangnam Severance Hospital (GSH) performed 2,188 cystoscopic procedures, including 1,847 cystoscopies and 341 JJ stent removals, with average costs of $100.8 and $110.6, respectively. At National Health Insurance Service Ilsan Hospital (NHIMC), 1,463 procedures were performed, including 1,167 cystoscopies and 296 JJ stent removals, with average costs of $119.2 and $125.3. Cystoscopy costs at GSH were driven by reprocessing ($45.8, 45.4%) and equipment ($33.1, 32.9%), while NHIMC’s were $52.5 (44.0%) for equipment and $48.7 (40.8%) for reprocessing. Both hospitals incurred financial losses, with NHIS (National Health Insurance Service) covering only about 71.7% and 60.6% of costs for cystoscopy, and 71.0% and 62.7% for JJ stent removal.
Conclusions: The significant discrepancy between HIRA (Health Insurance Review & Assessment Service)’s estimated costs and those identified here suggests that current fees for cystoscopic procedures may be underestimated and require reassessment. Given the results, reevaluating these rates is essential to ensure fair compensation for healthcare providers and to deliver optimal patient care."
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| format | Article |
| id | doaj-art-d35da23c6d36416c8c6dbc43023c6c4e |
| institution | Kabale University |
| issn | 2466-0493 2466-054X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Korean Urological Association |
| record_format | Article |
| series | Investigative and Clinical Urology |
| spelling | doaj-art-d35da23c6d36416c8c6dbc43023c6c4e2025-01-09T09:26:28ZengKorean Urological AssociationInvestigative and Clinical Urology2466-04932466-054X2025-01-01661879610.4111/icu.20240289A multicenter micro-costing analysis of flexible cystoscopic procedures in KoreaUiemo Je0https://orcid.org/0000-0002-0663-4229 Woong Kyu Han1https://orcid.org/0000-0002-2527-4046 Hee-Kyo Jeong2https://orcid.org/0009-0004-8768-3410 Hankil Lee3https://orcid.org/0000-0002-7780-159XKwang Suk Lee4https://orcid.org/0000-0002-7961-8393 Sung Ku Kang5https://orcid.org/0000-0002-3143-507XByeong-Ju Kwon6https://orcid.org/0000-0001-9916-0546 Sung-Uk Kuh7https://orcid.org/0000-0003-2566-3209Department of Medical Device Engineering and Management, Yonsei University College of Medicine, Seoul, Korea.Department of Urology, Yonsei University College of Medicine, Seoul, Korea.Department of Medical Device Engineering and Management, Yonsei University College of Medicine, Seoul, Korea.College of Pharmacy, Ajou University, Suwon, Korea.Department of Urology and Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.Department of Urology, National Health Insurance Service Ilsan Hospital, Goyang, Korea.Department of Medical Device Engineering and Management, Yonsei University College of Medicine, Seoul, Korea.Department of Spinal Neurosurgery, Gangnam Severance Hospital, Seoul, Korea."Purpose: This study aims to develop and implement an economic evaluation using a micro-costing approach to provide a precise and transparent analysis of the direct costs of cystoscopic procedures in Korean hospitals. The study seeks to identify key cost components and evaluate whether current reimbursement rates accurately reflect these direct costs. Materials and Methods: Significant variations in cost items were identified across different studies. An economic evaluation was conducted using a micro-costing methodology for the cost analysis of cystoscopic procedures, developed through literature review, data collection from studies, and expert consultations. Results: Gangnam Severance Hospital (GSH) performed 2,188 cystoscopic procedures, including 1,847 cystoscopies and 341 JJ stent removals, with average costs of $100.8 and $110.6, respectively. At National Health Insurance Service Ilsan Hospital (NHIMC), 1,463 procedures were performed, including 1,167 cystoscopies and 296 JJ stent removals, with average costs of $119.2 and $125.3. Cystoscopy costs at GSH were driven by reprocessing ($45.8, 45.4%) and equipment ($33.1, 32.9%), while NHIMC’s were $52.5 (44.0%) for equipment and $48.7 (40.8%) for reprocessing. Both hospitals incurred financial losses, with NHIS (National Health Insurance Service) covering only about 71.7% and 60.6% of costs for cystoscopy, and 71.0% and 62.7% for JJ stent removal. Conclusions: The significant discrepancy between HIRA (Health Insurance Review & Assessment Service)’s estimated costs and those identified here suggests that current fees for cystoscopic procedures may be underestimated and require reassessment. Given the results, reevaluating these rates is essential to ensure fair compensation for healthcare providers and to deliver optimal patient care." https://www.icurology.org/pdf/10.4111/icu.20240289cost analysiscystoscopecystoscopyendoscopeendoscopy |
| spellingShingle | Uiemo Je Woong Kyu Han Hee-Kyo Jeong Hankil Lee Kwang Suk Lee Sung Ku Kang Byeong-Ju Kwon Sung-Uk Kuh A multicenter micro-costing analysis of flexible cystoscopic procedures in Korea Investigative and Clinical Urology cost analysis cystoscope cystoscopy endoscope endoscopy |
| title | A multicenter micro-costing analysis of flexible cystoscopic procedures in Korea |
| title_full | A multicenter micro-costing analysis of flexible cystoscopic procedures in Korea |
| title_fullStr | A multicenter micro-costing analysis of flexible cystoscopic procedures in Korea |
| title_full_unstemmed | A multicenter micro-costing analysis of flexible cystoscopic procedures in Korea |
| title_short | A multicenter micro-costing analysis of flexible cystoscopic procedures in Korea |
| title_sort | multicenter micro costing analysis of flexible cystoscopic procedures in korea |
| topic | cost analysis cystoscope cystoscopy endoscope endoscopy |
| url | https://www.icurology.org/pdf/10.4111/icu.20240289 |
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