Análisis Del Costo De La Atención Del Parto En Medellín

Abstract

A923from an official publication of the Ministry of Health. A sensitivity analysis of 1000 simulations was performed on both outcome variables and costs through a Monte Carlo model using gamma distributions. Results: Nutrition care interventions targeting hospitalized at-risk and malnourished patients could contribute to cost savings of US $503.3 million ($1.5 billion COP) annually. Additionally, reduction of unplanned readmissions contributes to cost savings of US $77.1 million ($230.000 COP million) per year, while rationalization of hospital diets and wasting contributes to cost savings of US $1.3 million ($ 3.900 million COP) per year. This translates into total savings of US $580.4 million (1.7 billion COP), which represents the cost needed to attend 10% of inpatients admitted to Colombian hospitals in one year. ConClusions: Nutrition care interventions targeting at-risk and malnourished hospitalized patients can generate significant cost savings for the Colombian health care system as a result of reducing patient hospital length of stay, cost per event, unplanned hospital readmissions, rationalizing hospital diets, and increasing the capability of hospital beds utilization without having to incur additional investment expenses.

Cost-effectiveness analysis of spontaneous vaginal delivery vs elective cesarean delivery for maternal outcomes in Colombia

“…The authors found through a microcosting analysis that cesarean delivery is more expensive when compared with vaginal delivery in 4 different health institutions. 18 Therefore, this evidence suggests that with a reduction in the cesarean delivery rates, Colombia's healthcare system may benefit from a reduction in expenditures on obstetrical care.…”

“…Allen et al 35 , 2003. Unassisted vaginal delivery Maternal complications 0.0078 0.0002 0.0459 Restrepo et al 18 , 2017. Banco de la República B et al 28 , 2019.…”

“…An analysis performed in Medellín revealed that cesarean delivery has a higher average cost than vaginal delivery. 18 Besides, a study based on a Health Promotion Entity (EPS in Spanish) population in Bogotá determined that cesarean delivery care represented higher costs than established standard costs. 19 Nevertheless, there is scarce evidence in our country on the medical outcomes of each of the alternatives.…”