Экономическая эффективность лечения недержания мочи в условиях стационара кратковременного пребывания.

Abstract

Introduction. The high prevalence of stress urinary incontinence in women increases the demand for surgical treatment. Modern minimally invasive techniques and improvements in anesthetic care significantly reduce the complications risk and improve the rehabilitation process. Short-stay hospital (SSH) facilitates faster patients return to normal life and reduces the burden on the healthcare system. Materials and methods. Economic department of the S.I. Spasokukotsky City Clinical Hospital (now State Autonomous Healthcare Institution of the City of Moscow «Moscow Scientific and Practical Center for Medical Rehabilitation and Sports Medicine named after S.I. Spasokukotsky Department of Health of the City of Moscow» Branch No. 3) calculated the cost of stress urinary incontinence treating (midurethral sling, medical cod 200511) in SSH and 24-hour hospital. Results. The cost of performing midurethral sling in the SSH conditions was 78144,27 rubles, a similar intervention in a 24-hour hospital – 88211,27 rubles. Cost-effectiveness was 11,41%. According to the calculations, treatment in SSH conditions is economically justified what means an adequate level of resource management. Conclusion. Treatment in SSH is more cost-effective particularly for patients with stress urinary incontinence. Patients should be encouraged to undergo treatment in SSH.