Abstract
Abstract
Background
Enhanced recovery after surgery (ERAS) is attracting extensive attention and being widely applied to reduce postoperative stress and accelerate recovery. However, the economic benefits of ERAS are less clarified at the social level. We aimed to assess the economic impact of ERAS in hepatectomy from the perspectives of patients, hospitals and society, as well as identify the approach to create the economic benefits of ERAS.
Methods
By combining the literature and national statistical data, the cost-effectiveness framework was clarified, and parameter values were determined. Cost-effectiveness analysis, cost–benefit analysis and cost-minimisation analysis were used to compare ERAS and conventional treatment from the perspectives of patients, hospitals and society. The capital flow diagram was used to analyse the change between them.
Results
ERAS significantly reduced the economic burden of disease on patients ($8935.02 vs $10,470.02). The hospital received an incremental benefit in ERAS (the incremental benefit cost ratio value is 1.09), and the total social cost was reduced ($5958.67 vs $6725.80). Capital flow diagram analysis demonstrated that the average daily cost per capita in the ERAS group increased ($669.51 vs $589.98), whereas the benefits depended on the reduction of hospital stay and productivity loss.
Conclusion
The mechanism by which ERAS works is to reduce the average length of stay, thereby reducing the economic burden and productivity loss on patients and promoting the hospital bed turnover rate. Therefore, ERAS should further focus on accelerating the rehabilitation process, and more economic support (such as subsidies) should be given to hospitals to carry out ERAS.
Funder
National Natural Science Foundation of China
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health,Health Policy
Reference38 articles.
1. Chinese Medical Association Surgery Branch, Chinese Medical Association Anesthesiology Branch. Chinese expert consensus and path management guidelines for enhanced recovery after surgery (2018). Chin J Pract Surg. 2018;38(1):1–20.
2. Jeong O, Kim HG. Implementation of enhanced recovery after surgery (ERAS) program in perioperative Management of Gastric Cancer Surgery: a Nationwide survey in Korea. J Gastric Cancer. 2019;19(1):72–82.
3. Liu C, Qiao Q, Luo M, Wu W, Lu G. Application research progress on enhanced recovery after surgery. Chin Nurs Res. 2019;33(2):261–4.
4. Zhang H. ERAS development helps "healthy China tour". China Hospital CEO. 2019;8:30–1.
5. Li P, Song W, Cong W. The history of enhanced recovery after surgery. Electron J Gen Stomatol. 2019;6(28):153.
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