POCT COST EFFECTIVENESS CASE STUDY ON THE WAY TO A HB-HTA UNIT
Author(s)
Rogalewicz V1, Matuskova K2, Zavadil M3, Vaclavikova A1, Kamensky V1
1Czech Technical University in Prague, Kladno, Czech Republic, 2Institute of Health Information and Statistics of the Czech Republic, Praha 2, Czech Republic, 3Motol University Hospital, Prague, Czech Republic
OBJECTIVES: In Motol University Hospital in Prague, POCT, point-of-care testing, was selected to test the possibilities and limits of HB-HTA. POCT producers usually adapt the technical solution to the fact that the devices are operated by staff without special laboratory skills; they make operation simpler and the device design more user-friendly. All maintenance of POCT is usually left to the producer or supplier, and the only requirement from the payer’s part is a participation in external quality control, while the hospital´s biochemistry laboratory is responsible for quality management METHODS: The survey was done in 18 hospital departments, where the acid base balance analysers have been operated. Patient data (without identification of particular patients) were collected retrospectively from January 2012 through November 2014, completed with interviews with ward sisters from all 18 departments. Effects and costs were analysed using Saaty´s matrix. RESULTS: The total financial balance was positive in all years; hence, the analysers (as a whole) can be labelled as profitable. Analysing each department individually, nine departments showed negative results at least in one year of the study, above all due to purchase of reagents and consumables. A frequent reason was also that some checks were not reimbursed by insurance companies due to non-observation of negotiated limits. CONCLUSIONS: The survey pointed at a non-controlled and insufficiently regulated operation of the analysers. The HTA study showed that the acid base balance POCT process must be modified and better controlled. The study is encouraging establishment of a HB-HTA unit in the Hospital.
Conference/Value in Health Info
2017-11, ISPOR Europe 2017, Glasgow, Scotland
Value in Health, Vol. 20, No. 9 (October 2017)
Code
PMD158
Topic
Health Technology Assessment
Topic Subcategory
Decision & Deliberative Processes
Disease
Multiple Diseases