title: [Medico-economic analysis of a neurosurgery department at a university hospital].
abstract: OBJECTIVE
  Economic and societal constraints require to take into account the economic dimension and medical performance of hospital departments. We carried out a self-assessment study, which we thought could be useful to share with the neurosurgical community.
  
  
  METHODS
  Care and research activities were assessed from 2009 to 2013. We used institutional and assessment-body parameters in order to describe activities and perform a financial evaluation. It was a retrospective descriptive study based on the guidelines of the DHOS/O4 circular No. 2007/390 of October 29, 2007.
  
  
  RESULTS
  The average annual, analytic income statement was +1.39 millions euros, for 63 beds with a 92% occupancy rate, including 6.7 full-time equivalent neurosurgeons (and assistants), for 2553 patients and 1975 surgeries. The average mortality rate was 2.74%. The annual mean length of stay was 6.82 days. Per year, on average 15.6% of patients were admitted in emergency and 76.9% returned home. The annual, act-related-pricing and publication-related incomes represented 77% and 0.6%, respectively of the total funding. Difficulties to find downstream beds for the most severe patients induced 1401 "waiting days" in 2012.
  
  
  CONCLUSIONS
  Medico-economic analysis of a neurosurgery department at a university hospital was useful in order to take into account the care, teaching and research activities, as well as its related financial value.
authors: Service de neurochirurgie, hôpital Gabriel-Montpied, CHU de Clermont-Ferrand, 51, rue Montalembert, 63003 Clermont-Ferrand, France. Electronic address: jjlemaire@chu-clermontferrand.fr.
authors: J-J
authors: JJ
authors: Lemaire
authors: Direction des finances, hôpital Gabriel-Montpied, CHU de Clermont-Ferrand, 63003 Clermont-Ferrand, France.
authors: C
authors: C
authors: Delom
authors: Service de neurochirurgie, hôpital Gabriel-Montpied, CHU de Clermont-Ferrand, 51, rue Montalembert, 63003 Clermont-Ferrand, France.
authors: A
authors: A
authors: Coste
authors: Service de neurochirurgie, hôpital Gabriel-Montpied, CHU de Clermont-Ferrand, 51, rue Montalembert, 63003 Clermont-Ferrand, France.
authors: T
authors: T
authors: Khalil
authors: Département d'information médicale, hôpital Gabriel-Montpied, CHU de Clermont-Ferrand, 63003 Clermont-Ferrand, France.
authors: J-C
authors: JC
authors: Jourdy
authors: Coordination soins de suite et réadaptation, agence régional de santé - Auvergne, 63057 Clermont-Ferrand, France.
authors: B
authors: B
authors: Pontier
authors: Unité de neuroradiologie, hôpital Gabriel-Montpied, CHU de Clermont-Ferrand, 63003 Clermont-Ferrand, France.
authors: J
authors: J
authors: Gabrillargues
authors: Service de neurochirurgie, hôpital Gabriel-Montpied, CHU de Clermont-Ferrand, 51, rue Montalembert, 63003 Clermont-Ferrand, France.
authors: D
authors: D
authors: Sinardet
authors: Service de neurochirurgie, hôpital Gabriel-Montpied, CHU de Clermont-Ferrand, 51, rue Montalembert, 63003 Clermont-Ferrand, France.
authors: A
authors: A
authors: Chabanne
authors: Service de neurochirurgie, hôpital Gabriel-Montpied, CHU de Clermont-Ferrand, 51, rue Montalembert, 63003 Clermont-Ferrand, France.
authors: V
authors: V
authors: Achim
authors: Service de neurochirurgie, hôpital Gabriel-Montpied, CHU de Clermont-Ferrand, 51, rue Montalembert, 63003 Clermont-Ferrand, France.
authors: L
authors: L
authors: Sakka
authors: Service de neurochirurgie, hôpital Gabriel-Montpied, CHU de Clermont-Ferrand, 51, rue Montalembert, 63003 Clermont-Ferrand, France.
authors: J
authors: J
authors: Coste
authors: Service de neurochirurgie, hôpital Gabriel-Montpied, CHU de Clermont-Ferrand, 51, rue Montalembert, 63003 Clermont-Ferrand, France.
authors: J
authors: J
authors: Chazal
authors: Délégation à la recherche clinique & à l'innovation, direction générale adjointe, hôpital Gabriel-Montpied, CHU de Clermont-Ferrand, 63003 Clermont-Ferrand, France.
authors: A
authors: A
authors: Salagnac
authors: Service de neurochirurgie, hôpital Gabriel-Montpied, CHU de Clermont-Ferrand, 51, rue Montalembert, 63003 Clermont-Ferrand, France.
authors: G
authors: G
authors: Coll
authors: Service de neurochirurgie, hôpital Gabriel-Montpied, CHU de Clermont-Ferrand, 51, rue Montalembert, 63003 Clermont-Ferrand, France.
authors: B
authors: B
authors: Irthum
mesh_terms: D000328:Adult; D000368:Aged; D004632:Emergency Medical Services / Q000191:economics; D005260:Female; D005602:France; D017048:Health Care Costs; D017052:Hospital Mortality; D006784:Hospitals, Teaching; D006785:Hospitals, University / Q000191:economics*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009493:Neurosurgery / Q000191:economics*; D019635:Neurosurgical Procedures / Q000191:economics / Q000401:mortality; D010360:Patient Transfer / Q000706:statistics & numerical data; D012106:Research; D012189:Retrospective Studies; D013503:Surgery Department, Hospital / Q000191:economics*; D000078329:Workforce
keywords: Assessment; Care; Economy; Neurochirurgie; Neurosurgery; Performance; Recherche; Research; Soin; Économie; Évaluation