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. 2001 Mar 31;27(5):335-8.
doi: 10.1016/s0212-6567(01)79377-8.

[Economic impact of the introduction of a minor surgery program in primary care]

[Article in Spanish]
P J Tárraga López  1 , E Marín Nieto, D García Olmo, A Celada Rodríguez, J Solera Albero
Affiliations

[Economic impact of the introduction of a minor surgery program in primary care]

[Article in Spanish]
P J Tárraga López et al. Aten Primaria. .

Abstract
in English, Spanish

Objective: To value the economic impact of implantation (establishment) of a minor surgery programme within health area of primary care in Albacete (Spain).

Setting: Primary care (PC).

Design: Observational, cross-sectional and retrospective study. Interventions and measurements. It has been recorded some patients operated on subsidiary minor surgery pathologies in the three health centers of Albacete area that participated in pilot experience from 1 November 1997 to 30 October 1998. It has been calculated the fixed costs corresponding to sanitary staff and the repayment of chirurgical area daily. As well, it were calculated the costs corresponding to disposable and not disposable equipment. It were analysed costs in function of intervention and the total cost were compared with the cost it would have supposed if it would carried out in specialized private centers according to up to dated fees of 1998 insurance companies.

Main results: During the study interval were operated on 185 patients with an average age of 64,5 years (SD +/- 21,4) with a slight predominance of women. All pathologies treated were benign, 39 cases were abscess, 38 were nail pathology, and 35 were foreign bodies removed.Cost were calculated on the basis of time of one year. Total cost of minor surgery programme were 1.234.440 Pts (7715 Euros) whereas if it would have carried out at specialized level it supposed between 2621450 Pts (15755.23 Euros) and 4440000 Pts (26684.94 Euros).

Conclusion: In our study, the minor surgery programme in primary care diminish the cost in comparison with private specialized level, at the same time as reducing standby list in specialities like surgery or dermatology.

Objetivo: Valorar el impacto económico de la implantación de un programa de cirugía menor en un área de salud de atención primaria.

Ámbito: Atención primaria.

Diseño: Observacional, transversal y retrospectivo.

Medidas e intervenciones: Se han registrado todos los pacientes intervenidos de algunas patologías subsidiarias de cirugía menor en los 3 centros de salud del Área de Albacete que participaron en la experiencia piloto desde el 1 de noviembre de 1997 al 30 de octubre de 1998.

Se calcularon los gastos fijos correspondientes al personal sanitario y a la amortización del área quirúrgica diaria. También se calcularon los gastos correspondientes al material fungible y no fungible.

Se analizaron los gastos en función de la intervención, y el coste total se comparó con el coste que hubiese supuesto su realización en centros especializados privados según tarifas vigentes de 1998 de compañías de seguros.

Resultados principales: Durante el período de estudio se intervinieron 185 pacientes con una edad media de 64,5 años (± 21,4) con ligero predominio de mujeres.

Las patologías tratadas fueron todas benignas, siendo en 39 casos abscesos, 38 casos de patología de la uña y 35 consistieron en extracción de cuerpos extraños.

Los costes se calcularon sobre la base de tiempo de un año. El coste total del programa de cirugía menor fue de 1.234.440 pts., mientras que si se hubiese realizado en el nivel especializado hubiese supuesto 2.621.450-4.440.000 pts.

Conclusión: En nuestro estudio el programa de cirugía menor en atención primaria reduce los costes en comparación con el nivel especializado privado, a la vez que podría mejorar los recursos utilizados en especialidades como cirugía o dermatología.

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