POSSIBILITIES, EXPEDIENCY AND NECESSITY OF INTRODUCING ELEMENTS OF CLINICAL AND ECONOMIC ANALYSIS INTO THE PRACTICE OF A LARGE TRAUMA CENTER

Author:

V.V. Savgachev1ORCID,K.L. Shubin2ORCID,I.I. Litvinov1ORCID

Affiliation:

1. Yaroslavl State Medical University, Yaroslavl, Russian Federation

2. National Research University Higher School of Economics, St. Petersburg, Russian Federation

Abstract

Abstract: It is proved that the costs incurred at different points in time should be "weighted" or discounted to reflect the fact that those that occur in the near future are more important than those that occur in the distant future. This raises the question: should the advantages or consequences of alternative procedures also be discounted? The main arguments against discounting benefits are, firstly, that health is not a commodity resource that can be invested to create future health flows, nor does it have a monetary value that can be expected to increase over time with income, and, secondly, there is no evidence to support the opinion that people value future health conditions less highly than current ones. It is necessary to recommend this approach as a standard practice in the development of new methods and technologies of treatment not only in traumatology and orthopedics, but also in other fields of medicine, first of all, these methods of clinical and economic assessment should be applied in dissertation works to demonstrate the survival of the dissertation product in the economic link of domestic healthcare, and, accordingly, its demand in general. The purpose of the work: to find out the prerequisites for the introduction into routine practice of planning the use of various medical benefits in the provision of trauma care on the basis of an economic and clinical approach.

Publisher

Technomed Holdings LLC

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