頁籤選單縮合
題名 | 影響手術實際成本與收費相關因素之探討 |
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編 次 | 2 |
作者姓名(中文) | 傅玲; 徐南麗; 陳雪芬; 姚琪; 鍾文珍; | 書刊名 | 榮總護理 |
卷期 | 12:3 1995.09[民84.09] |
頁次 | 頁305-314 |
分類號 | 419.45 |
關鍵詞 | 手術收費; 不計價材料; 手術總成本; 直接成本; 間接成本; Operative charge; Nonchargeable material; Operative actual cost; Direct cost; Indirect cost; |
語文 | 中文(Chinese) |
中文摘要 | 本研究為五年計畫,研究完成可達到下列目標:(一)探討手術實際成 本。(二)瞭解手術收費訂定之標準。(三)比較手術收費與實際成本是否相符。(四) 探討影響手術實際成本與手術收費之相關因素。(五)提供本院全民健保醫療給付 收費標準之參考。第一年研究已完成為:(一)設計並收集各手術進出手術室,手 術時間,麻醉時間等八個時間點之實際工時。(二)依前列手術時間點,試算各科 手術實際平均工時。(三)依前列手術時間點,算出頻率最多之前十項手術所耗費 之手術總工時。第二年研究目的為:(一)修訂不計價醫材建檔。(二)一般外科第 一年研究之前十項單項手術為樣本,試算不計價用物,設備費用之成本。(三)探 討手術收費與實際成本是否相符。(四)探討影響手術實際成本與手術收費之相關 因素。研究時間自83年4月至6月止,取樣對象為第一年所摘選一般外科單項 手術,共計十項,研究結果顯示:選出之十項單項手術平均總成本,因手術種類、 用人費用、不計價藥材成本、設備費用不同而各有差異性。十項單項手術成本與 收費標準全部不相符,以乳房腫瘤組織檢查切除手術總成本為收費標準的4.13 倍,差距最大;以闌尾切除手術總成本是收費標準的1.38倍,為最接近。手術 工時、投入人員的多寡、不計價藥材的項目及用量、設備取得成本及使用率等因 素可影響手術的成本。本研究可初步瞭解一般外科十項單項手術成本,除可提供 其它所有手術參考,亦可提供管理者,除去無效費用,改善工作,降低成本,評 價工作效率及效益。 |
英文摘要 | The purpose of this study is to: 1. find out the actual cost of operatioin; 2.understand the operative charge; 3. compare the actual cost to the operative charge; 4. analyze the relation between operative actual cost and operative charge; 5. compare the relationship between operative charge and actual cost; 6. provide a reference for the National Health Insurance reimbursement. This is a five-year plan started in July, 1992 to be carried through June 1997. The first year was accomplished time study of eight periods in operating room. The top 10 operation items according to frequency in specific operating division, including general sugery, chest surgery, ophthalmology, urology, neurosurgery, plastic surgery, colon rectum surgery and orthopedic surgery were investigated. The second year was accomplished an operative cost study of general surgery in the operating room. The results showed that the operative charge does not cover the operative cost in general surgery in 8 operation items of 10, only the charge of inguinal hernioplasty and appendectomy can cover the actual cost. This study can establish a reference for managing manpower, eliminating the ineffective cost and related factors, decreasing cost, and elevating the efficiency and effectiveness. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。