Il costo della radioterapia: L'esperienza piemontese

Translated title of the contribution: The cost of radiotherapy: A Piedmont experience

Pietro Gabriele, Franca Ozzello, Gian Luigi Nhegri, Paolo Rotta, Massimo Pasquino, Giuseppe Sinistrero

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction. An integrated task force of radiotherapists and administratives of the Piedmont region studied the estimated cost of radiotherapy (RT) to compare it with the figures in the 502/92 law modifying the financing of medical structures. This law changed the financing method from productive factors compensation to actually provided performances compensation. Material and methods. The RT departments of the Turin and Novara university hospitals, those of Ivrea and Asti and that of the Pinna Pintor Clinic (Turin) participated in the study, with 4889 examinations in the period of interest. The study consisted of 6 steps: 1) defining a nomenclator; 2) making a list of standard resources; 3) calculating the actual resource consumption; 4) relating 2) to 3); 5) calculating cost and times; 6) defining quality standards. A technical and/or a central group(s) carried out all the steps. The nomenclator indicates 13 main activities (eg, irradiation, telecobalt therapy, brachytherapy, hyperthermia), each of them featuring some subactivities (eg, telecobalt therapy: flash, a fixed beam, two opposing beams). The following productive factors were considered: a) personnel; b) material; c) investments; d) the service cost; e) general costs. The personnel cost (the main cost) was calculated as: A) routine activity; B) activity for other units; C) congress activity; D) research. The times for individual performances were estimated according to professional roles (eg, medical doctor, physicist, technician, nurse, administrative) for each subactivity. Results. The estimated RT costs were as follows (please note that all figures are expressed in US $, at a rate of 1$=ItL 1700). Irradiation: 15 (cost/session ± 3%); telecobalt therapy: 30-55; Linac (energy <> 10 Mev): 38-60; special techniques: 931-2,314; HDR brachytherapy: 878-1,515; hyperthermia: 285; simulation: 50-92; dosimetry: 52-286; examination, treatment planning, followup, etc.: 24-59; immobilization devices, photographs, etc.; 3-66. The quality criteria are related to the personnel; high energy equipment; treatment planning; 3D dosimetry. Conclusions. Our study led the Italian Ministry of Health to revise the estimated cost of RT examinations in July, 1996. We will further enquire into the new figures.

Translated title of the contributionThe cost of radiotherapy: A Piedmont experience
Original languageItalian
Pages (from-to)656-662
Number of pages7
JournalRadiologia Medica
Volume95
Issue number6
Publication statusPublished - Jun 1998

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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