Cost Analysis of Magnetic Resonance Imaging and Computed Tomography in Cardiology: A Case Study of a University Hospital Complex in the Euro Region

Author:

Reyes-Santias Francisco1234ORCID,García-García Carlos5ORCID,Aibar-Guzmán Beatriz5ORCID,García-Campos Ana123ORCID,Cordova-Arevalo Octavio4ORCID,Mendoza-Pintos Margarita6,Cinza-Sanjurjo Sergio237ORCID,Portela-Romero Manuel238ORCID,Mazón-Ramos Pilar123,Gonzalez-Juanatey Jose Ramon123ORCID

Affiliation:

1. Servicio de Cardiología, Complejo Hospitalario Universitario de Santiago de Compostela, Choupana s/n, 15706 Santiago de Compostela, Spain

2. Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS), Choupana s/n, 15706 Santiago de Compostela, Spain

3. Centro de Investigación Biomédica en Red-Enfermedades Cardiovasculares (CIBERCV), Av. Monforte de Lemos, 3-5. Pabellón 11. Planta 0, 28029 Madrid, Spain

4. Department of Business, University of Vigo, 36310 Vigo, Spain

5. Department of Pharmacology, Pharmacy and Pharmaceutical Technology, R+D Pharma Group (GI-1645), Faculty of Pharmacy, Health Research Institute of Santiago de Compostela (IDIS), University of Santiago de Compostela, 15782 Santiago de Compostela, Spain

6. Medtronic España, S.A., 15753 Santiago de Compostela, Spain

7. CS Milladoiro, Área Sanitaria Integrada Santiago de Compostela, 15895 Travesía do Porto, Spain

8. CS Concepción Arenal, Área Sanitaria Integrada Santiago de Compostela, Rúa de Santiago León de Caracas, 12, 15701 Santiago de Compostela, Spain

Abstract

Introduction: In recent years, several hospitals have incorporated MRI equipment managed directly by their cardiology departments. The aim of our work is to determine the total cost per test of both CT and MRI in the setting of a Cardiology Department of a tertiary hospital. Materials and Methods: The process followed for estimating the costs of CT and MRI tests consists of three phases: (1) Identification of the phases of the testing process; (2) Identification of the resources consumed in carrying out the tests; (3) Quantification and assessment of inputs. Results: MRI involves higher personnel (EUR 66.03 vs. EUR 49.17) and equipment (EUR 89.98 vs. EUR 33.73) costs, while CT consumes higher expenditures in consumables (EUR 93.28 vs. EUR 22.95) and overheads (EUR 1.64 vs. EUR 1.55). The total cost of performing each test is higher in MRI (EUR 180.60 vs. EUR 177.73). Conclusions: We can conclude that the unit cost of each CT and MRI performed in that unit are EUR 177.73 and EUR 180.60, respectively, attributable to consumables in the case of CT and to amortization of equipment and staff time in the case of MRI.

Publisher

MDPI AG

Subject

Health Information Management,Health Informatics,Health Policy,Leadership and Management

Reference38 articles.

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2. Antelo, M., Fraga, J., and Reboredo, J. (2010). Fundamentos de Economía y Gestión de la Salud, Universidade de Santiago de Compostela.

3. Antelo, M., Fraga, J.M., and Reboredo, J. (2010). Fundamentos de Economía y Gestión de La Salud, Universidade de Santiago de Compostela.

4. Resonancia Magnética Cardiovascular En La Práctica Cardiológica: Una Guía Concisa Para La Adquisición de Imágenes y La Interpretación Clínica;Hinojar;Rev. Esp. Cardiol.,2016

5. Primera Resonancia Magnética Gestionada Por Cardiología En La Red Sanitaria Pública Española: Experiencia y Dificultades de Un Modelo Innovador;Rev. Esp. Cardiol.,2018

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