An economic analysis of digitalized and standardized workflows within the operating room
- Autores: Christian Von Schudnat
- Directores de la Tesis: José Albors Garrigós (dir. tes.), Klaus Peter Schoeneberg (dir. tes.), María de Miguel Molina (dir. tes.)
- Lectura: En la Universitat Politècnica de València ( España ) en 2024
- Idioma: inglés
- Tribunal Calificador de la Tesis: Antonio Hidalgo Nuchera (presid.), Robert-Christian Ziebell (secret.), Marco Bueter (voc.)
- Programa de doctorado: Programa de Doctorado en Administración y Dirección de Empresas por la Universitat Politècnica de València
- Materias:
- Enlaces
- Tesis en acceso abierto en: RiuNet
- Resumen
Digitalization in healthcare still lags compared to many other industries but offers the potential to cope with increasing challenges. This thesis examines the example of digital workflow management implemented in the surgical Operating Room (OR) and what the impact of digitalization on quality, efficiency and economics for hospital management could be.
The methodology for this research is based on a quantitative approach. First, an overview and analysis of the healthcare market and an extensive systematic literature review were carried out. It was focused on the efficiency and economic impact of standardization and digitalization of intraoperative processes in the OR. The findings provided the basis for the research questions around digital workflow-management-systems. Single-center hospital data on a digital workflow-management-system, Surgical Process Manager (SPM), has been retrospectively extracted and analyzed in orthopedics and general & visceral surgery (G&V) to fill identified research gaps. Additionally, provided patient data has been retrospectively used for economic calculations to conclude the main research question in G&V, focusing on obesity surgery.
The main findings of the thesis show that implementing digital workflow management systems, in the example of the SPM, improves efficiency and economics in obesity surgery. The odds ratio analysis to assess the impact on quality did not allow conclusions in orthopedics or obesity surgery. The cost-benefit calculation in obesity surgery showed cost savings of 318 € per patient, totaling 10,073€. This economic benefit was achieved by decreasing the length of stay (-1.2 days). For the first time, research provides evidence of the economic value of digitized and standardized processes in the OR in G&V. The results will facilitate investment decisions in digitization of hospital management and offer options to overcome the financial burden in the current healthcare market. Also, the findings provide in-depth details on specific cost structures, calculations, reimbursement, and how to effectively measure the financial impact on digital systems in the OR.
