Variation in costs of cone beam CT examinations among health care systems

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Variation in costs of cone beam CT examinations among health care systems

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dc.contributor.author Christell, Helena
dc.contributor.author Birch, Stephen
dc.contributor.author Hedesiu, Mihaela
dc.contributor.author Horner, Keith
dc.contributor.author Ivanauskaité, Deimante
dc.contributor.author Nackaerts, Olivia
dc.contributor.author Rohlin, Madeleine
dc.contributor.author Lindh, Christina
dc.contributor.author SEDENTEXCT consortium
dc.date.accessioned 2012-11-29T14:17:48Z
dc.date.available 2012-11-29T14:17:48Z
dc.date.issued 2012 en_US
dc.identifier.citation 571-577 en_US
dc.identifier.issn 1476-542X en_US
dc.identifier.uri http://hdl.handle.net/2043/14444
dc.description.abstract Objectives: To analyse the costs of cone beam CT (CBCT) in different healthcare systems for patients with different clinical conditions. Methods: Costs were calculated for CBCT performed in Cluj (Romania), Leuven (Belgium), Malmö (Sweden) and Vilnius (Lithuania) on patients with (i) a maxillary canine with eruption disturbance, (ii) an area with tooth loss prior to implant treatment or (iii) a lower wisdom tooth planned for removal. The costs were calculated using an approach based on the identification, measurement and valuation of all resources used in the delivery of the service that combined direct costs (capital equipment, accommodation, labour) with indirect costs (patients’ and accompanying persons’ time, ‘‘out of pocket’’ costs for examination fee and visits). Results: The estimates for direct and indirect costs varied among the healthcare systems, being highest in Malmö and lowest in Leuven. Variation in direct costs was mainly owing to different capital costs for the CBCT equipment arising from differences in purchase prices (range J148 000–227 000). Variation in indirect costs were mainly owing to examination fees (range J0–102.02). Conclusions: Cost analysis provides an important input for economic evaluations of diagnostic methods in different healthcare systems and for planning of service delivery. Additionally, it enables decision-makers to separate variations in costs between systems into those due to external influences and those due to policy decisions. A cost evaluation of a dental radiographic method cannot be generalized from one healthcare system to another, but must take into account these specific circumstances. en_US
dc.language.iso eng en_US
dc.publisher The Brittish Institute of Radiology en_US
dc.subject cone beam computed tomography en_US
dc.subject costs and cost analysis en_US
dc.subject diagnostic en_US
dc.subject oral health en_US
dc.subject.classification Medicine en_US
dc.title Variation in costs of cone beam CT examinations among health care systems en_US
dc.type Article, peer reviewed scientific en_US
dc.contributor.department Malmö University. Faculty of Odontology
dc.identifier.doi http://dx.doi.org/10.1259/dmfr/22131776 en_US
dc.subject.srsc Research Subject Categories::ODONTOLOGY en_US
dc.identifier.url http://dmfr.birjournals.org.proxy.mah.se/content/41/7/571 en_US
dc.relation.ispartofpublication Dentomaxillofacial Radiology;7
dc.relation.ispartofpublicationvolume 41 en_US
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