Cost-effectiveness Analysis and Case-based Payment Norm Modeling on Appendicitis Patients at Hanoi Medical University Hospital
Cost-effectiveness Analysis and Case-based Payment Norm Modeling on Appendicitis Patients at Hanoi Medical University Hospital
In the world, there are several studies comparing the cost-effectiveness between laparoscopic
 appendectomy and open appendectomy. But in Vietnam, health economics studies for acute
 appendicitis surgery in general and laparoscopic appendectomy in particular has hardly been
 available, and in the context of reform of the financial mechanism for payment, questions
 about the cost-effectiveness between the two surgical methods are particularly concerned.
 Therefore, we conducted a study "Cost-effectiveness analysis and case-based payment norm
 modeling in patients with appendectomy at Hanoi Medical University Hospital"
Acute Appendicitis (AA) is a surgical emergency most common stomach. Appendicitis occurs at
 all ages. Recently, the rate tends to increase VRTC with age. In the United States, there are
 about 300,000 cases of appendectomy surgery per year. In Vietnam, according to statistics
 from a number of other authors showed that the rate of appendectomy surgery accounted for
 40.5% - 49.8% of total number of cases of abdominal emergency. Open appendectomy (OA) has
 long been applied as the gold standard surgical procedure for the treatment of AA for over a
 century, since it was introduce by McBurrney in 1894 and still be common choice for procedure
 in many center. In 1981, due to the growth of endoscopic surgery, Semm first introduced the
 laparoscopic appendectomy, which render a minimal invasive procedure for abdomen and skin,
 nevertheless, its superiority over open appendectomy (OA) is still being debated. Some more
 recent paper demonstrate that Laparoscopic Appendectomy is the technique of choice in
 treatment of AA because of its clinical advantage and cost-effectiveness, however, more than
 20 years later, the benefits of LA still remain a controversy for many researchers.

 There are several studies comparing the cost-effectiveness between laparoscopic appendectomy
 and open appendectomy in the world. But in Vietnam, health economics studies for appendix
 removal surgery in general and laparoscopic appendectomy in particular has hardly been
 available, and in the context of reform of the financial mechanism for payment, questions
 about the cost-effectiveness between the two surgical methods are particularly concerned.
 Therefore, we conducted a study "Cost-effectiveness analysis and case-based payment norm
 modeling in patients with appendectomy at Hanoi Medical University Hospital" with two main
 purposes

 1. Analyze cost-effectiveness between laparoscopic and open surgery in patients undergoing
 appendectomy at Hanoi Medical University Hospital in 2011 - 2013

 2. Model case-based payment norm of appendectomy patients at Hanoi Medical University
 Hospital
Inclusion Criteria:

 -  Laparoscopic Appendectomy patients agree to participate in research and are paid by
 the mode of service charge

 -  Laparoscopic Appendectomy patients agree to participate in research and are paid
 according to package medical cases

 Exclusion Criteria:

 -  Patients with combined pathology affecting surgical outcomes

 -  The patient did not agree to participate in research

 -  Patients do not comply with treatment