RT Journal Article
T1 An alternative model in the provision of CPAP in sleep apnea: a comparative cost analysis.
A1 Gonzalez-Vergara, Demetrio
A1 Marquez-Pelaez, Sergio
A1 Alfonso-Arias, Jose David
A1 Perez-Ramos, Julia
A1 Rojas-Box, Jose Luis
A1 Aumesquet-Nosea, Manuel
K1 Apnea-hypopnea syndrome during sleep
K1 CPAP
K1 Costs
K1 Satisfaction
AB To conduct a pilot study on an alternative model for the provision of respiratory therapies in sleep apnea-hypopnea syndrome (SAHS) by internalizing the service with the purchase, monitoring and control of continuous positive airway pressure (CPAP) equipment by the hospital. An observational, prospective pilot study of comparative cost analysis by internalizing the service to include all patients up to a budget limit of 5000 euros. The cost of internalizing the service included the acquisition of CPAP equipment and all the necessary accessories in addition to the nursing days necessary to track the patients. Patient satisfaction was assessed by a survey of the hospital service. Twenty-one patients with 23,046 patient-days of follow-up were included. The cost of the internalized system was 6825.11 €. The cost of the outsourced system over the same period would have been 22,781.18 €; thus, the direct saving was 15,956.07 €. The cost per device per day of the internalized system was 0.30 € versus the 0.99 € that the outsourced system would have cost during the study period. In the satisfaction survey, 12 (70.6%) patients indicated that they preferred the service of the hospital over that of the external company. No patient preferred the outsourced system. The internalization of CPAP service represents significant cost savings from a hospital perspective and an improvement in patients' perceptions of the quality of service.
YR 2021
FD 2021-05-18
LK http://hdl.handle.net/10668/17804
UL http://hdl.handle.net/10668/17804
LA en
DS RISalud
RD Apr 19, 2025