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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">La mayor&#237;a de trabajos sobre costes de las t&#233;cnicas de reproducci&#243;n asistida &#40;TRA&#41; identifican el coste directo del procedimiento&#44; sin considerar elementos como los costes estructurales o intermedios&#44; de gran importancia&#46; El objetivo de este trabajo es calcular el coste por proceso de las TRA realizadas en un hospital p&#250;blico en 2003 y compararlo con los resultados de 1998 en el mismo centro&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">El estudio se realiza en la Unidad de Reproducci&#243;n Humana &#40;URH&#41; del Hospital Universitario Virgen de las Nieves de Granada en 1998 y 2003&#46; Partiendo de los costes totales de dicha unidad&#44; y mediante una metodolog&#237;a de distribuci&#243;n de costes basada en la estructura de costes&#44; calculamos el coste por proceso de las TRA realizadas en este centro&#44; considerando los costes completos&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Entre 1998 y 2003&#44; la actividad y los costes de la URH analizada evolucionan de forma distinta&#46; El an&#225;lisis de la actividad muestra la consolidaci&#243;n de t&#233;cnicas&#44; como la microinyecci&#243;n esperm&#225;tica &#40;ICSI&#41; y la desaparici&#243;n de otras &#40;ciclo sin reproducci&#243;n asistida e inseminaci&#243;n artificial conyugal intracervical&#41;&#46; En todos los procesos&#44; los costes unitarios por ciclo y por embarazo disminuyen en el per&#237;odo analizado&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Se han producido importantes cambios en la estructura de costes de las TRA de la URH-HUVN entre 1998- 2003&#46; Mientras algunos procesos desaparecen&#44; otros se consolidan con una elevada actividad&#46; Los avances t&#233;cnicos y las innovaciones organizativas&#44; junto con un &#171;efecto aprendizaje &#187;&#44; han alterado la estructura de costes de las TRA&#46;</p>"
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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p class="elsevierStyleSimplePara elsevierViewall">Most studies on the costs of assisted reproductive technologies &#40;ART&#41; identify the total cost of the procedure with the direct cost&#44; without considering important items such as overhead or intermediate costs&#46; The objective of this study was to determine the cost per ART procedure in a public hospital in 2003 and to compare the results with those in the same hospital in 1998&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Data from the Human Reproduction Unit of the Virgen de las Nieves University Hospital in Granada &#40;Spain&#41; from 1998 and 2003 were analyzed&#46; Since the total costs of the unit were known&#44; the cost of the distinct ART procedures performed in the hospital was calculated by means of a methodology for cost distribution&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Between 1998 and 2003&#44; the activity and costs of the Human Reproduction Unit analyzed evolved differently&#46; Analysis of activity showed that some techniques&#44; such as intracytoplasmic sperm injection&#44; were consolidated while others&#44; such as stimulation without assisted reproduction or intracervical insemination were abandoned&#46; In all procedures&#44; unit costs per cycle and per delivery decreased in the period analyzed&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Important changes took place in the structure of costs of ART in the Human Reproduction Unit of the Virgen de las Nieves University Hospital between 1998 and 2003&#46; Some techniques were discontinued&#44; while others gained importance&#46; Technological advances and structural innovations&#44; together with a &#171;learning effect&#187;&#44; modified the structure of ARTrelated costs&#46;</p>"
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Originales
Coste de las técnicas de reproducción asistida en un hospital público
Cost of assisted reproduction technology in a public hospital
José Luis Navarro Espigaresa,
Autor para correspondencia
josel.navarro.sspa@juntadeandalucia.es

Correspondencia: Dr. José Luis Navarro Espigares. Hospital Universitario Virgen de las Nieves. Avda. de la Fuerzas Armadas, 2. 18014 Granada. España.
, Luis Martínez Navarrob, José Antonio Castilla Alcaláb, Elisa Hernández Torresc
a Subdirección Económico-Administrativa de Control de Gestión, Hospital Universitario Virgen de Las Nieves, Granada, España
b Unidad de Reproducción Humana, Hospital Universitario Virgen de las Nieves, Granada, España
c departamento de Economía Aplicada, Universidad de Granada, Granada, España
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">La mayor&#237;a de trabajos sobre costes de las t&#233;cnicas de reproducci&#243;n asistida &#40;TRA&#41; identifican el coste directo del procedimiento&#44; sin considerar elementos como los costes estructurales o intermedios&#44; de gran importancia&#46; El objetivo de este trabajo es calcular el coste por proceso de las TRA realizadas en un hospital p&#250;blico en 2003 y compararlo con los resultados de 1998 en el mismo centro&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">El estudio se realiza en la Unidad de Reproducci&#243;n Humana &#40;URH&#41; del Hospital Universitario Virgen de las Nieves de Granada en 1998 y 2003&#46; Partiendo de los costes totales de dicha unidad&#44; y mediante una metodolog&#237;a de distribuci&#243;n de costes basada en la estructura de costes&#44; calculamos el coste por proceso de las TRA realizadas en este centro&#44; considerando los costes completos&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Entre 1998 y 2003&#44; la actividad y los costes de la URH analizada evolucionan de forma distinta&#46; El an&#225;lisis de la actividad muestra la consolidaci&#243;n de t&#233;cnicas&#44; como la microinyecci&#243;n esperm&#225;tica &#40;ICSI&#41; y la desaparici&#243;n de otras &#40;ciclo sin reproducci&#243;n asistida e inseminaci&#243;n artificial conyugal intracervical&#41;&#46; En todos los procesos&#44; los costes unitarios por ciclo y por embarazo disminuyen en el per&#237;odo analizado&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Se han producido importantes cambios en la estructura de costes de las TRA de la URH-HUVN entre 1998- 2003&#46; Mientras algunos procesos desaparecen&#44; otros se consolidan con una elevada actividad&#46; Los avances t&#233;cnicos y las innovaciones organizativas&#44; junto con un &#171;efecto aprendizaje &#187;&#44; han alterado la estructura de costes de las TRA&#46;</p>"
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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p class="elsevierStyleSimplePara elsevierViewall">Most studies on the costs of assisted reproductive technologies &#40;ART&#41; identify the total cost of the procedure with the direct cost&#44; without considering important items such as overhead or intermediate costs&#46; The objective of this study was to determine the cost per ART procedure in a public hospital in 2003 and to compare the results with those in the same hospital in 1998&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Data from the Human Reproduction Unit of the Virgen de las Nieves University Hospital in Granada &#40;Spain&#41; from 1998 and 2003 were analyzed&#46; Since the total costs of the unit were known&#44; the cost of the distinct ART procedures performed in the hospital was calculated by means of a methodology for cost distribution&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Between 1998 and 2003&#44; the activity and costs of the Human Reproduction Unit analyzed evolved differently&#46; Analysis of activity showed that some techniques&#44; such as intracytoplasmic sperm injection&#44; were consolidated while others&#44; such as stimulation without assisted reproduction or intracervical insemination were abandoned&#46; In all procedures&#44; unit costs per cycle and per delivery decreased in the period analyzed&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Important changes took place in the structure of costs of ART in the Human Reproduction Unit of the Virgen de las Nieves University Hospital between 1998 and 2003&#46; Some techniques were discontinued&#44; while others gained importance&#46; Technological advances and structural innovations&#44; together with a &#171;learning effect&#187;&#44; modified the structure of ARTrelated costs&#46;</p>"
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ISSN: 02139111
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