The unwritten price of cosmetic tourism: An observational study and cost analysis
The unwritten price of cosmetic tourism: An observational study and cost analysis
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DOI：
10.1016/j.bjps.2011.07.027
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发表时间：
2012-01-01
影响因子：
2.7
通讯作者：
Malata, C. M.
中科院分区：
文献类型：
--
作者：
Miyagi, K.;Auberson, D.;Malata, C. M.
简介和目标： 尽管专业机构就相关风险发出警告，但在国外廉价运营的推动下，美容旅游越来越受欢迎。越来越多的人向我们部门请求 NHS 治疗此类手术的并发症。我们着手描述这些患者的特征，并评估通过他们的评估和管理所产生的费用。材料和方法：2007年至2009年对因整容旅游手术并发症而前往三级转诊整形外科诊所的患者进行了一项观察性研究。记录了人口统计特征以及与操作相关的特征。构建了医院患者流动路径，使用患者水平成本法进行成本分析，并计算支出和盈利能力。 主要结果：研究期间出现了 19 名患者。大多数手术在欧洲或亚洲进行，主要是隆胸手术（n=13）。主要并发症是伤口感染或裂开以及美容效果不佳。 11 名患者接受了 NHS 治疗，费用为 120,841 英镑。所有患者的平均治疗费用为 6360 英镑（范围：114-57,968 英镑），接受治疗的患者费用升至 10,878 英镑。对于可进行全面患者水平成本核算的 9 名患者中的 8 名 (89%)，医院遭受了财务损失。结论：NHS 管理美容旅游并发症的成本巨大，且被中央资助机构低估。 (C) 2011 年英国整形、重建和美容外科医生协会。由爱思唯尔有限公司出版。保留所有权利。
Introduction and aims: Cosmetic tourism, driven by the promise of inexpensive operations abroad, is increasingly popular despite warnings from professional bodies regarding associated risks. Increasing numbers of individuals have presented to our department requesting NHS treatment of complications from such surgery. We set out to characterize these patients and evaluate costs incurred through their assessment and management.Material and methods: An observational study was conducted from 2007 to 2009 on patients presenting to a tertiary referral Plastic Surgery practice with complications of cosmetic tourism surgery. Demographic characteristics, as well as those related to the operation, were recorded. Hospital patient flow pathways were constructed, cost analysis performed using Patient Level Costing, and expenditure and profitability calculated.Key results: Nineteen patients presented within the study period. Most operations were performed in Europe or Asia, and were primarily breast augmentation procedures (n=13). The principal complications were wound infection or dehiscence, and poor cosmetic results. Eleven patients received NHS treatment, at a cost of 120,841 pound. The mean cost for all patients' management was 6360 pound (range: 114- pound 57,968) pound, rising to 10,878 pound for those accepted for treatment. For 8 of the 9 patients (89%) for whom full patient level costing was available, the hospital incurred a financial loss.Conclusion: The costs to the NHS of managing complications of cosmetic tourism are substantial, and underestimated by central funding agencies. (C) 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.