Time-driven activity-based costing of total knee replacements in Karachi, Pakistan.

ABSTRACT:

Introduction

Osteoarthritis of the knee has been identified as the most common disability in Pakistan. Total knee replacement (TKR) surgery is the curative treatment for advanced osteoarthritis of the knee; however, cost remains one of the barriers to effective and timely service delivery.

Objective

We conducted a time-driven activity-based costing (TDABC) analysis of TKR to identify major cost drivers and areas for process improvement.

Methods and analysis

We performed a prospective TDABC analysis of patients who underwent bilateral TKR at The Indus Hospital (TIH) during a 14-month period from October 2015 to December 2016. Detailed process maps were developed for each phase of the care cycle. Time durations and costs were allocated to each resource utilised and aggr

SUBMITTER: Khan RM 

PROVIDER: S-EPMC6549678 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature