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Cost-effectiveness of referrals to high-volume hospitals: An analysis based on a probabilistic Markov model for hip fracture surgeries

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  • Afschin Gandjour
  • Eva-Julia Weyler

Abstract

Previous studies suggest that German hospitals that perform a high volume of hip fracture surgeries have a lower mortality rate and shorter length of stay than low-volume hospitals. The goal of this paper was to determine the long-term cost-effectiveness (over 20 years) of referring hip fracture surgeries to high-volume hospitals, based on data from previous studies. From a societal perspective, the cost-effectiveness ratio was €15,530 per QALY (quality-adjusted life year) (95% confidence interval €9,864–€33,048), while total annual costs to the statutory health insurance amounted up to €19.6 million. The referral of hip fracture surgeries to high-volume hospitals is thus likely to be cost-effective in Germany. Copyright Springer Science + Business Media, LLC 2006

Suggested Citation

  • Afschin Gandjour & Eva-Julia Weyler, 2006. "Cost-effectiveness of referrals to high-volume hospitals: An analysis based on a probabilistic Markov model for hip fracture surgeries," Health Care Management Science, Springer, vol. 9(4), pages 359-369, November.
    • Handle: RePEc:kap:hcarem:v:9:y:2006:i:4:p:359-369
    DOI: 10.1007/s10729-006-0000-6
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    References listed on IDEAS

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    1. Gandjour, Afschin & Lauterbach, Karl Wilhelm, 2005. "Does prevention save costs?: Considering deferral of the expensive last year of life," Journal of Health Economics, Elsevier, vol. 24(4), pages 715-724, July.
    2. Frank A. Sonnenberg & J. Robert Beck, 1993. "Markov Models in Medical Decision Making," Medical Decision Making, , vol. 13(4), pages 322-338, December.
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    Cited by:

    1. Dirk Mueller & Afschin Gandjour, 2008. "Cost effectiveness of ultrasound and bone densitometry for osteoporosis screening in post-menopausal women," Applied Health Economics and Health Policy, Springer, vol. 6(2), pages 113-135, July.
    2. Dirk Mueller & Eva Weyler & Afschin Gandjour, 2008. "Cost Effectiveness of the German Screen-and-Treat Strategy for Postmenopausal Osteoporosis," PharmacoEconomics, Springer, vol. 26(6), pages 513-536, June.
    3. Douglas Wolf & Thomas Gill, 2009. "Modeling transition rates using panel current-status data: How serious is the bias?," Demography, Springer;Population Association of America (PAA), vol. 46(2), pages 371-386, May.
    4. Dirk Mueller & Afschin Gandjour, 2011. "Cost effectiveness of secondary vs tertiary prevention for post-menopausal osteoporosis," Applied Health Economics and Health Policy, Springer, vol. 9(4), pages 259-273, July.

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