Cost containment via expense rationalization in open-heart surgery
| Autor: | Mohammad Riahi, Luis A. Tomatis, Ralph J. Schlosser, F.S. Stockinger, R. Kanten |
|---|---|
| Rok vydání: | 1979 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty business.industry General surgery Saphenous vein bypass Pharmacy Rationalization (economics) medicine.disease Community hospital Patient room Cardiac operations Aortic valve replacement medicine Surgery Cardiology and Cardiovascular Medicine business Cost containment health care economics and organizations |
| Zdroj: | The Journal of Thoracic and Cardiovascular Surgery. 77:448-451 |
| ISSN: | 0022-5223 |
| DOI: | 10.1016/s0022-5223(19)40915-x |
| Popis: | Hospital costs and the fees of the surgeon, assistant, anesthesiologist, and cardiologist were reviewed in a community hospital doing 425 cardiac operations in the year 1977. Each item of the bill was analyzed and discussed with each department of the hospital. Changes made in the routine saved approximately $1000 per patient—16 percent for patients having mitral valves replacement (MVR), 15 percent for those having aortic valve replacement (AVR), 21 percent for those having saphenous vein bypass grafts (SVBG), and 23 percent for pediatric cases. The areas most likely to yield economic reductions without alteration of the quality of care are operating room, patient room, respiratory therapy, and pharmacy. Making the nurses, scrub technicians, surgical assistants, residents, and staff surgeons aware of the cost of each item and periodically discussing the alternatives could yield surprisingly large savings. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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