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Surgical Cost Disclosure May Reduce Operating Room Expenditures

机译：手术成本披露可能会减少手术室支出

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Health care expenditures are rising in the United States. Recent policy changes are attempting to reduce spending through the development of value-based payment systems that rely heavily on cost transparency. This study was conducted to investigate whether cost disclosure influences surgeons to reduce operating room expenditures. Beginning in 2012, surgeon scorecards were distributed at a regional health care system. The scorecard reported the actual direct supply cost per case for a specific procedure and compared each surgeon's data with those of other surgeons in the same subspecialty. Rotator cuff repair was chosen for analysis. Actual direct supply cost per case was calculated quarterly and collected over a 2-year period. Surgeons were given a questionnaire to determine their interest in the scorecard. Actual direct supply cost per rotator cuff repair procedure decreased by S269 during the study period. A strong correlation (R-2=0.77) between introduction of the scorecards and cost containment was observed. During the study period, a total of S39,831 was saved. Of the surgeons who were queried, 89% were interested in the scorecard and 56% altered their practice as a result. Disclosure of surgical costs may be an effective way to control operating room spending. The findings suggest that providing physicians with knowledge about their surgical charges can alter per-case expenditures.
机译：医疗保健支出在美国上升。最近的政策变更正在试图通过开发基于价值的支付系统的开支，这些支付系统依赖于成本透明度。进行本研究以调查成本披露是否影响外科医生以减少手术室支出。从2012年开始，外科医生记分卡被分布在一个区域医疗保健系统。记分卡报告了每个案例的实际直接供应成本，并将每个外科医生的数据与其他外科医生的数据进行比较。选择转子袖带修复进行分析。每个案例的实际直接供应量季度计算，并在2年内收集。外科医生有一个调查问卷来确定他们对记分卡的兴趣。每个转子袖带修复程序的实际直接供应成本在研究期间通过S269减少。观察到记分卡引入和成本遏制之间的强烈相关性（R-2 = 0.77）。在研究期间，共保存了S39,831。询问的外科医生，89％对记分卡感兴趣，56％的惯例改变了他们的实践。披露手术成本可能是控制手术室支出的有效途径。调查结果表明，具有关于他们的手术费用的知识提供医生可以改变每个案例的支出。

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