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Abdominal Wall SurgeryState-of-the-Art of Abdominal Wall Surgery in Italy: Coding, Reimbursement, Hospitalisations and Expenditure for Surgical Meshes

Abdominal Wall Surgery: State-of-the-Art of Abdominal Wall Surgery in Italy: Coding,... [In this chapter, we present the state-of-the-art of abdominal wall surgery in Italy. In 2016, 83,427 hospitalisations for hernia repair were performed by public and private hospitals, the vast majority (87%) without complications. The expenditure for surgical meshes by public hospitals was equal to 21,281 million euro, with a 2.0% increase with respect to 2015. Currently, in Italy patients are classified based on their age, hernia location (inguinal/femoral/other) and presence/absence of complications. Clinical severity (e.g. hernia size), type of hernia (i.e. monolateral, bilateral and recurrent), type of intervention (open surgery vs. laparoscopy) and type of device are not considered. The level of reimbursement for hospitalisations varies across Italian regions. Special payments to encourage the use of innovative devices for hernia repair have not been introduced by any region.] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

Abdominal Wall SurgeryState-of-the-Art of Abdominal Wall Surgery in Italy: Coding, Reimbursement, Hospitalisations and Expenditure for Surgical Meshes

Editors: Greco, Dalila Patrizia; Borgonovi, Elio
Cavallo, Maria Caterina; Callea, Giuditta; Tarricone, Rosanna
Springer Journals — Mar 1, 2019
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17 pages

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Publisher
Springer International Publishing
Copyright
© Springer Nature Switzerland AG 2019
ISBN
978-3-030-02425-3
Pages
87 –104
DOI
10.1007/978-3-030-02426-0_9
Publisher site
See Chapter on Publisher Site

Abstract

[In this chapter, we present the state-of-the-art of abdominal wall surgery in Italy. In 2016, 83,427 hospitalisations for hernia repair were performed by public and private hospitals, the vast majority (87%) without complications. The expenditure for surgical meshes by public hospitals was equal to 21,281 million euro, with a 2.0% increase with respect to 2015. Currently, in Italy patients are classified based on their age, hernia location (inguinal/femoral/other) and presence/absence of complications. Clinical severity (e.g. hernia size), type of hernia (i.e. monolateral, bilateral and recurrent), type of intervention (open surgery vs. laparoscopy) and type of device are not considered. The level of reimbursement for hospitalisations varies across Italian regions. Special payments to encourage the use of innovative devices for hernia repair have not been introduced by any region.]

Published: Mar 1, 2019

Keywords: Abdominal wall surgery; Mesh; Coding; Reimbursement; Expenditure; Italian classification system of medical devices

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