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Titolo:
TREATMENT AND CASE RELATED BUDGETING DEMA ND ECONOMIC MANAGEMENT - SHORT-OPERATIONS DAY - A WAY TO SOLVE THE PROBLEM
Autore:
BERGLER W; REIS J; HORMANN K;
Indirizzi:
UNIV MANNHEIM,HALS NASEN OHREN KLIN,FAK KLIN MED MANNHEIM,THEODOR KUTZER UFER D-68135 MANNHEIM GERMANY
Titolo Testata:
Laryngo-, Rhino-, Otologie
fascicolo: 4, volume: 76, anno: 1997,
pagine: 258 - 262
SICI:
0935-8943(1997)76:4<258:TACRBD>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
GER
Soggetto:
TONSILLECTOMY; ADENOIDECTOMY; COMPLICATIONS; HEMORRHAGE; CHILDREN; COSTS;
Keywords:
CASE RELATED BUDGETING; ECONOMIC EFFICIENCY; UTILIZATION OF OPERATING THEATER;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
21
Recensione:
Indirizzi per estratti:
Citazione:
W. Bergler et al., "TREATMENT AND CASE RELATED BUDGETING DEMA ND ECONOMIC MANAGEMENT - SHORT-OPERATIONS DAY - A WAY TO SOLVE THE PROBLEM", Laryngo-, Rhino-, Otologie, 76(4), 1997, pp. 258-262

Abstract

Background: Implementation of case related budgeting (similar to diagnosis related groups) has forced hospitals into more cost efficient management particularly with respect to surgery. Efforts to increase efficiency are concentrated on the labor intensive organization of the surgical ward. Operations of short duration are a major focal point. An analysis of the organizational structure of our hospital showed that significant improvement in operating theater management and utilizationcan be achieved in order to improve efficiency. A new pilot project was tested for economic efficiency. Methods: On eleven specified surgery days (129 patients) only short operations with a duration of less than 20 min were allowed (tonsillectomy, adenectomy, etc.). On each day 15 operations were performed in one operating room with two anesthesiology teams and one surgery team. This type of ''short-operation day'' was compared with a ''regular'' surgery day with two operating rooms, two anesthesiology teams, and two surgery teams. Efficiency, complication rates, economic outcome, and patient satisfaction were assessed. Results: Due to reduction of staff and a more efficient organization, we were able to reduce the costs for staff and the operating theater maintenance from DM 378,20 to DM 243,90 for each operation. Additionally, only one operating room was required instead of two. Complication rates (postoperative bleeding) were lower than before and patient acceptance and satisfaction was remarkable. Conclusions: Economic efficiencyof short operations could be increased by organizational restricturing. The quality of the operations and the patients' satisfaction did not decrease.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 10:12:50