Ödeyici Kurum Bakış Açısıyla İleri Evre Böbrek Kanserinde Kaynak Kullanımı: Eğitim ve Araştırma Hastanesi Örneği

Year 2022, Volume: 13 Issue: 34, 520 - 534, 20.05.2022

Hüseyin Demir Pınar Yalçın Balçık

https://doi.org/10.21076/vizyoner.991598

Cited By: 1

Abstract

Çalışmanın amacı, ileri evre böbrek kanseri hastalığını sağlık ekonomisi bağlamında değerlendirmek, hastalığa ilişkin kaynak kullanımını ödeyici kurum bakış açısıyla araştırmaktır. Çalışma tanımlayıcı tipte kesitsel bir araştırma olup araştırmanın evreni 2611 hastadan oluşmaktadır. Veri; hizmet, ilaç ve malzeme olmak üzere üç kategoride değerlendirilmiştir. Analizler bütün hastalara ilişkin veriler kullanılarak yürütülmüştür. Veri analizinde R programı kullanılmıştır. Bulgulara göre, hastaların %52,7’si (1376 hasta) nefrektomi operasyonu geçirmiştir. İEBK hastalığında hizmet, ilaç ve malzemeler yoğun bir biçimde kullanılmaktadır. Hizmet ve malzemeler oldukça yoğun kullanılmalarına karşın bu kaynaklara ilişkin maliyetlerin bir kısmının, ilaç kullanımına ilişkin maliyetlerin ise neredeyse tamamının ödeyici kurum tarafından karşılandığı anlaşılmıştır. Dolayısıyla ilaç kullanımı ödeyici kurum üzerinde zorlayıcı bir etkiye sahiptir. Diğer yandan, hizmet sunumunda kullanılan kaynaklar için ödenen tutarların sürekli olarak artış gösterdiği saptanmıştır. Bu trend, ödeyici kurum bütçesi üzerindeki yükün fazla olduğunu ve bu yükün git gide artabileceğini göstermektedir. Sonuç olarak, hastalığın tedavisi ilaç-yoğun karaktere sahiptir. Bu bulgu, özellikle kemoterapi ilaçları ile sağlanan sağlık sonuçlarının ölçülmesi gerektiğine ilişkin ihtiyacı ortaya koymaktadır.

Keywords

İleri Evre Böbrek Kanseri, Ödeyici Kurum, Kaynak Kullanımı

Resource Use in Advanced Renal Cancer with the Payer Institution Perspective: The Case of Training and Research Hospital

Abstract

The study aims to evaluate advanced renal cancer disease in the context of health economics and to investigate the resource-use related to the disease with the payer institution perspective. The study is descriptive and cross-sectional, and population consists of 2,611 patients. The data falls into the categories of service, medicine and material. Analyzes are done using the data of all patients. R program is utilized to discover and visualize the data. According to the findings, 52.7% of the patients (1,376 patients) underwent nephrectomy operation. Services, drugs, and materials are used extensively in the disease. Although services and materials are used extensively, the costs of these resources are partially reimbursed, whereas almost all costs related to drugs are reimbursed. Therefore, the drugs have a challenging burden on the institution. On the other hand, the amount paid for the resources used in providing services has gradually increased. This trend suggests that the burden on the institution’s budget is high and it may gradually increase. The study points to the finding that the treatment of the disease has a drug-intensive character. This finding, in return, makes it necessary to measure the health outcomes brought about by chemotherapy drugs.

Keywords

Advanced Renal Cancer, Payer Institution, Resource Use

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