Author:
İndelen Cenk,Uygun Kızmaz Yeşim,Kar Ahmet,Shander Aryeh,Kırali Kaan
Abstract
Background: This study aims to analyze the cost of the entire transfusion process in Turkey including evaluation of the cost of transfusion from the perspective of hospital management and determination of savings achieved with the transfusion improvement program.
Methods: Invoices, labor, material costs were calculated with micro-costing method, while general production expenses were calculated with gross costing method between January 2018 and December 2019. Unit costs for each blood product were calculated separately by collecting unit acquisition costs, material costs, labor costs, and general production expenses and, then, distributed into six different blood products as follows: erythrocyte suspension, fresh frozen plasma, pooled platelet, apheresis platelet, cryoprecipitate, fresh whole blood. The total costs for 2018 and 2019 were calculated and the savings achieved were estimated. The Turkish Lira was converted into the United States Dollar ($) currency using the purchasing power parity.
Results: In 2018/2019, the blood component transfusion cost was $240.90/251.18 for erythrocyte suspension, $120.00/128.67 for fresh frozen plasma, $313.50/322.19 for pooled platelet, $314.24/325.73 for apheresis platelet, $104.95/113.99 for cryoprecipitate, and $189.91/209.09 for fresh whole blood. The total transfusion cost was $6,224,208.33 in 2108 and $5,308,148.43 in 2019. As a result of the transfusion improvement program launched in 2019, the amount of blood components decreased by 23.24%, compared to the previous year, and a saving of $916,059.9 was achieved.
Conclusion: The transfusion is a burden for both the hospital management systems and the country's economy. To accurately calculate and manage this economic burden is important for sustainable healthcare services.
Publisher
Baycinar Tibbi Yayincilik
Subject
Cardiology and Cardiovascular Medicine,Pulmonary and Respiratory Medicine,Surgery
Reference21 articles.
1. Ağırbaş İ, Gök H, Akbulut Y, Önder ÖR. Hastanelerde maliyet analizi ve tıbbi rehabilitasyon hizmetlerinde birim maliyet hesaplanması. Türk Fiz Tıp Rehab Derg 2012;58:103-8.
2. Shepard DS, Hodgkin D, Anthony YE. Analysis of hospital costs: a manual for managers. Prepared for the Health Systems Development Program. Geneva; World Health Organization; 2000.
3. Menderes M, Ersoy K. Genel sistem kuramı ve sağlık sistemi, hastane sistemi ve hasta bakım alt sistemi. Editör: Seçim H. Eskişehir: Açıköğretim Fakültesi; 1995. s. 43-73.
4. Akca N, Somunoğlu İkinci S. Ankara"da yer alan özel bir sağlık işletmesinin finansal tablolarının oran analizi yöntemi ile değerlendirilmesi. İşletme Bilimi Dergisi 2014;2:111-26.
5. Hofmann A, Ozawa S, Farrugia A, Farmer SL, Shander A. Economic considerations on transfusion medicine and patient blood management. Best Pract Res Clin Anaesthesiol 2013;27:59-68.