Compte de résultat analytique d’une unité périopératoire gériatrique (notice n° 1578577)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 04381cam a2200421 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20251228045446.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Boddaert, Jacques |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Compte de résultat analytique d’une unité périopératoire gériatrique |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2015.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 27 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Objectif : La prise en charge précoce des fractures du col du fémur dans une unité périopératoire de gériatrie (UPOG) a démontré son efficacité sur la mortalité à long terme. Dans cette étude, nous avons évalué médico-économiquement une UPOG. Méthodes : L’année 2011 a été évaluée. Les dépenses directes ont été obtenues à partir de la banque de données de l’Assistance publique-Hôpitaux de Paris, les dépenses indirectes à partir du compte de résultat analytique de l’hôpital, et les recettes à partir des groupes homogènes de séjour de PMSI Pilot. Recettes et dépenses aux urgences ont été estimées ainsi que les recettes supplémentaires induites dans le service de chirurgie orthopédique. Nous avons estimé les dépenses liées à l’activité opératoire dans le cadre de plusieurs modèles, celui d’un bloc d’urgence ouvert 24 h/24 et celui d’un bloc standard. Enfin, nous avons comparé le compte de résultat avec le personnel paramédical observé et celui qui nous semblait nécessaire. Résultats : L’UPOG a pris en charge 253 patients en un an dont 215 (84 %) ont bénéficié d’une intervention chirurgicale. Le compte de résultat était positif que ce soit pour un bloc d’urgence (+ 741 kEuros) ou un bloc standard (+ 490 kEuros) et restait positif lorsque le personnel paramédical était incrémenté (respectivement + 629 et + 156 kEuros). Conclusion : L’UPOG présente un compte de résultat positif quel que soit le modèle utilisé, bloc d’urgence ouvert 24h/24 ou bloc standard et même lorsque le personnel paramédical est incrémenté. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Cost accounting of a geriatric perioperative unit Aim : Hip fracture management in a dedicated geriatric perioperative unit improves long-term mortality. In this study, we report the health economics evaluation of this geriatric perioperative care unit (UPOG). Methods : This study was conducted in 2011. Direct expenditures were obtained from the Assistance Publique-Hôpitaux de Paris database, indirect expenditures from the hospital cost accounting, and financial incomes from the PMSI Pilot programme. Emergency department incomes and expenditures were estimated together with additional incomes related to orthopaedic surgery. We estimated expenditures related to operating room (OR) activities in the framework of several models, one with an emergency OR open 24h/24, and one with a standard OR. Lastly, we compared incomes/expenditures according to regular paramedical staff or according to the paramedical staff that would appear to be necessary to ensure patient care. Results : 253 patients were admitted to the UPOG during the study, 215 (84%) of whom underwent surgery. The income statement was positive for both an emergency OR (+741,000 Euros) and a standard OR (+490,000 Euros) and remained positive when paramedical staff was increased (+629,000 and +156,000 Euros, respectively). Conclusion : The UPOG income statement shows a positive result regardless of the model used, emergency 24h/24 OR or standard OR, and even when paramedical staff is increased.. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | comorbidité |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | compte de résultat hospitalier |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | coûts hospitaliers |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | fractures du col fémoral |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | gériatrie |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | multi-morbidités |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | parcours de soins |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | programme clinique |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | clinical pathways |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | comorbidity |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | femoral neck fractures |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | financial management |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | geriatrics |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hospital |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hospital costs |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | multimorbidity |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Barondeau, Marie-Laure |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Khiami, Frédéric |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Nion, Nathalie |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Frandji, Didier |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Riou, Bruno |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Santé Publique | 27 | 4 | 2015-10-22 | p. 529-537 | 0995-3914 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://stm.cairn.info/revue-sante-publique-2015-4-page-529?lang=fr&redirect-ssocas=7080">https://stm.cairn.info/revue-sante-publique-2015-4-page-529?lang=fr&redirect-ssocas=7080</a> |
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