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Financial effects of moving patients from an inpatient to an outpatient setting : providing financial insight in the effects of discharging patients the same day as surgery instead of keeping them overnight

Dommerholt, W. (2019) Financial effects of moving patients from an inpatient to an outpatient setting : providing financial insight in the effects of discharging patients the same day as surgery instead of keeping them overnight.

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Abstract:This thesis is a first step for Menzis in providing insight in whether discharging patients the same day as surgery instead of keeping them overnights leads to a cost reduction for hospitals. Therefore, the goal of this thesis is as follows: "Provide quantitative financial insight in the effects of discharging patients the same day as surgery instead of letting them stay overnight." As a first step we identified five procedures for which evidence from literature showed that that performing these procedures in an outpatient setting is safe and feasible. We will then provide insight into the impact of this strategy for the five selected procedures. The five selected procedures are as follows: - Percutaneous Coronary Intervention (PCI) - Total Hip Arthroplasty (THA) - Total Knee Arthroplasty (TKA) - Implantation of a Pacemaker - Cholecystectomy This study shows that the PCI, THA and TKA procedures are procedures that are potentially the most promising. Hospitals may have to adapt their standard procedure protocols in order to achieve the savings as presented. The simulation shows that although three procedures can potentially significantly impact the cost reduction in healthcare there are still some difficulties to overcome.
Item Type:Essay (Master)
Clients:
Menzis, Wagingen, Nederland
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:44 medicine, 54 computer science, 83 economics, 85 business administration, organizational science
Programme:Industrial Engineering and Management MSc (60029)
Link to this item:http://purl.utwente.nl/essays/77732
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