Skin cancer excision is more efficient and cost effective in a specialist secondary care service

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dc.contributor.author O’Sullivan, S.
dc.contributor.author Bowe, S.
dc.contributor.author O’Riordan, T.
dc.contributor.author Murphy, Aileen
dc.contributor.author Murphy, M.
dc.contributor.author Heffron, C.
dc.contributor.author Bourke, J. F.
dc.date.accessioned 2020-03-31T10:21:19Z
dc.date.available 2020-03-31T10:21:19Z
dc.date.issued 2020-03
dc.identifier.citation O’Sullivan, S., Bowe, S., O’Riordan, T., Murphy, A., Murphy, M., Heffron, C. and Bourke, J. F. (2020) ‘Skin cancer excision is more efficient and cost effective in a specialist secondary care service’, Irish Medical Journal, 113(3), P38 (5pp). en
dc.identifier.volume 113 en
dc.identifier.issued 3 en
dc.identifier.startpage 1 en
dc.identifier.endpage 5 en
dc.identifier.issn 0332-3102
dc.identifier.uri http://hdl.handle.net/10468/9793
dc.description.abstract Aim: To compare the relative efficiencies of skin excisions in primary and secondary care. Methods: We compared the benign: malignant ratio for specimens referred by General Practice, General Surgery and the Skin Cancer Service to the regional pathology laboratory over one month. We used cost minimization analysis to compare the relative efficiencies of the services. Results: 620 excisions were received: 139 from General Practice, 118 from General Surgery and 363 from the Skin Cancer Service. The number (%) of malignant lesions was 13 (9.4%) from General Practice, 18 (15.2%) from General Surgery and 137 (37.7%) from the Skin Cancer Service. Excision was cheaper in General Practice at €84.58 as compared to €97.49 in the hospital day surgical unit. However, the cost per malignant lesion excised was €1779.80 in general practice versus €381.78 in the Skin Cancer Service. Conclusion: Our results indicate that moving skin cancer treatment to General Practice may result in an excess of benign excisions and therefore be both less efficient and less cost effective. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Irish Medical Organisation en
dc.relation.uri http://www.imj.ie/wp-content/uploads/2020/03/Skin-Cancer-Excision-Is-More-Efficient-and-Cost-Effective-in-a-Specialist-Secondary-Care-Service.pdf
dc.rights © 2020, Irish Medical Organisation. All rights reserved. en
dc.subject Skin excisions en
dc.subject Primary care en
dc.subject Secondary care en
dc.subject Malignant en
dc.subject Benign en
dc.title Skin cancer excision is more efficient and cost effective in a specialist secondary care service en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Aileen Murphy, Cork University Business School, University College Cork, Cork, Ireland. +353-21-490-3000 Email: aileen.murphy@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Irish Medical Journal en
dc.internal.IRISemailaddress aileen.murphy@ucc.ie en
dc.identifier.articleid P38 en


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