Organ acquisition cost centers part II: Reducing the burden of cost and inventory
Organ acquisition cost centers part II: Reducing the burden of cost and inventory
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DOI：
10.1111/j.1600-6143.2006.01583.x
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发表时间：
2006-12-01
影响因子：
8.8
通讯作者：
Abecassis, M.
中科院分区：
文献类型：
--
作者：
Abecassis, M.
降低器官获取成本（OAC）可以降低移植成本。本文（第二部分）的目的是建立在第一部分中开发的定义和概念的平台上，以实现 OAC 的成本节约。我们提出了几种减少 OAC 的具体策略。我们将强调主动等候名单管理的价值。我们将发展这样一个概念：等待名单与产品库存有显着相似之处，并且库存控制和管理也可以减少 OAC。最后，我们假设等待名单的价值取决于可能接受移植的受者数量。我们创造了接受者等待名单的术语“可移植性指数”。该指数可以追溯地应用于任何等待名单，以评估等待名单的管理活跃程度。这种新颖的指标还可以间接用于评估和监控候补名单库存。
Decreasing organ acquisition costs (OAC) reduces the cost of transplantation. The purpose of this article (Part II) is to build on the platform of definitions and concepts developed in Part I to achieve cost-savings in OAC. We propose several concrete strategies to decrease OAC. We will highlight the value of proactive waitlist management. We will develop the notion that waiting lists share significant similarities with product inventory and that inventory control and management can also decrease OAC. Finally, we will postulate that the value of the waiting list is determined by the number of recipients likely to be transplanted. We have coined the term 'transplantability index' of a recipient waiting list. This index can be applied retrospectively to any waiting list in order to evaluate how actively the waiting list is being managed. This novel metric can also be used indirectly to assess and monitor waitlist inventory.