To investigate the cost-effectiveness of same day surgery compared with overnight stay surgery in Thailand. METHODS: An economic analysis was conducted to compare the cost-effectiveness of same day surgery and overnight stay among20 procedures in 6 hospitals in NHSO Region10. The analysis was based on a decision tree model, which was developed in consultation with Anesthesiologists and Nurse Anesthetists. The model took the perspective of societal perspective and healthcare provider perspective. Health outcomes were shown as costs and quality-adjusted life years (QALYs). RESULTS: Totally 513 eligible patients were recruited, 460 patients (89.67%) for overnight stay surgery and 53 patients (10.33%) for same day surgery. Results show that same day surgery was more cost-effective compared with overnight stay surgery. The QALY gained from both types of surgery were similar. The amount of cost-savings from same day surgery were approximately 1,356 Thai Baht per case. CONCLUSIONS: Same day surgery is cost-effective in Thailand and can reduce costs of treatment with same health outcomes from overnight surgery.
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