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From a hospital view

Urology Rigshospitalet What is economically the best ? Trivial urological diseases /specialised operations. From a hospital view. Acute admissions april 2009. 177 patients 50 own re-admissions 36 kidney stone trouble 34 katheter problems 31 urological infections 11 retension 12 haematuria

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From a hospital view

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  1. Urology RigshospitaletWhat is economically the best ?Trivial urological diseases /specialised operations From a hospital view Sundhedsøkonomi 16/6 2009

  2. Acute admissions april 2009 177 patients 50 own re-admissions 36 kidney stone trouble 34 katheter problems 31 urological infections 11 retension 12 haematuria 3 unplacable Sundhedsøkonomi 16/6 2009

  3. Cost Average length of stay in hospital for the acute patient is 2.6 days (127 patients, i.e 330 bed days) Occupancy in per cent: 104,8 in april 2009 in total And how much does the clinic earn ? DRG value acute patients april 2009: 1.6 mill. DKK Sundhedsøkonomi 16/6 2009

  4. What should/could the clinic do instead ? Prostate cancer patients needing surgery is increasing by appr. 25 % / year Today we operate appr. 20 patients a month. DRG value of this is: 55.530 DKK Average length of stay: 6 days Sundhedsøkonomi 16/6 2009

  5. Kidney transplants • There is an increasing need for kidney transplants where a healthy relative donates a kidney. Today we perform appr. 2 living donor kidney transplants / month. DRG value of this is: Tx 228.067 DKK Donor 45.258 DKK Average length of stay: Tx 18 days Donor 6 days Sundhedsøkonomi 16/6 2009

  6. So what should the clinic do ? Perform 40 radical prostatectomies /month Bed days increases with 120 DRG value 1.1 mill. DKK Perform 2 kidney transplants / month Bed days increases with 48 DRG value 550.000 DKK And would this give more room in the clinic ? Reduction of occupancy in percent to appr. 90 Sundhedsøkonomi 16/6 2009

  7. What do we need to do that • Increase in Operation theatre Prostate cancer: 8 Kidney transplants: 2 Which equals the amount of operation theatres not opened yet Sundhedsøkonomi 16/6 2009

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