Cost and Effectiveness Analysis on Endoscopic Retrograde Cholangiopancreatography (ERCP) Cleaning Process in Thabo Crown Prince Hospital, Nong Khai Province
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Abstract
A Cost and effectiveness analysis aimed to compare the cleaning process of Endoscopic Retrograde Cholangiopancreatography (ERCP) in Thabo Crown Prince Hospital, Nong Khai Province. The cost presented with provider perspective which compared 3 different cleaning processes with current cleaning process. 200 ERCP in Thabo Crown Prince Hospital were measured with 4 different cleaning process model. Direct cost of cleaning process is consisted of labor cost, material cost and capital cost. Whereas, effectiveness of cleaning processes was measured in both residue (Adenosine triphosphate: ATP/Aerobic Bacteria Culture) and cleaning time. Data analysis presented in percentage, Independent t test, Fisher’s Exact test, and Incremental cost-effectiveness ratio (ICER). Results were as follows;
The 3 and 4 cleaning process model shown highest cost approximately 1,072 baht/per time. The comparison on residue between current cleaning process with 3 different cleaning processes model on ATP (Adenosine triphosphate) by Water and Surface presented the residue at lower than 200 RLU (Relative Light Units) with statistic significant at 0.001. Moreover, the Aerobic Bacteria Culture test shown not statistic significant in 4 different cleaning processes. The 3 and 4 cleaning process presented longest time approximately 77 minutes. The incremental cost effectiveness ratio presented 4 cleaning process model presented at 1.098 per case detected.
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