Abstract

BALESTENA SANCHEZ, Jorge Manuel et al. Economic and Social Impact of Ambulatory Surgery in Gynecology by Short Stay Methods. Rev Ciencias Médicas [online]. 2014, vol.18, n.2, pp. 199-209. ISSN 1561-3194.

Introduction: the introduction of ambulatory gynecological surgery has meant a change in health care services, but its social and economic impact in Pinar del Rio has not been evaluated. Objective: to assess the economic and social impact of ambulatory surgery in gynecology by short stay method. Method: an observational, descriptive, retrospective and cross-sectional research was conducted in Abel Santamaria Cuadrado General Teaching Hospital, in Pinar del Rio, in the years 2010 and 2011. The universe was the sheer number of women operated during the period analyzed (N=4887); in the intentional sample (n=264 patients), we applied the short stay method (study group). We gathered: surgery type, main diagnosis, surgical operation performed, average stay, and costs, as well as operating time and level of patient satisfaction. Variables were summarized by absolute and relative percentage frequencies, mean, standard deviation and confidence interval, for the average at 95%. Costs were compared with those of hospitalized patients of obstetric surgery. Results: most short stay surgeries were used in 37.3% of patients. Uterine fibroid surgery was the main cause, and total abdominal hysterectomy surgery was the most commonly performed. In concept of stay, there were savings of $204,441.60, on the other hand, the mean operating time was 47.1±13.5 minutes and 95.8% of the patients reported good satisfaction. Conclusions: we found that most short-stay surgery is cost- efficient and represents a satisfactory social impact.

Keywords : Ambulatory surgical procedures [methods]; Ambulatory surgical procedures [economics]; Gynecology [classification]; Gynecology [methods].

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