2003—2007年某医院麻醉手术科成本-效益分析

Cost-benefit Analysis of Anesthesia Operation Department from 2003 to 2007 in a Hospital

目的:探讨提高麻醉手术科效益的有效途径。方法:对2003—2007年麻醉手术科设备固定资产、医疗收入、业务支出、固定成本、成本/收入比率、净收益进行回顾性比较分析。结果:麻醉手术科医疗资源配置密集,运行成本昂贵,固定成本占总成本45%。纯收益5年增长275.8%,与国家价格政策调整、成本控制和手术量增加45.5%有关。总成本收入比率超过70%,纯收益年增长率约12%。结论:提高手术间使用率,增加手术台次,加强成本管理,积极开展新技术可有效提高其经济与社会效益。

Objective： To explore the ways for improving medical benefits of anesthesia operation department. Methods： An retrospective analysis was made based on present equipment values, gross medical income, variable cost, fixed cost, cost to income ratio and net benefit. Result： For anesthesia operation department, the fixed cost reached 45%. The net benefit have increased 275.8% in five years, which is related to government price policy adjusting, cost control and the increase of the volume of operations by 45.5%. The ratio of total cost to gross income was above 70%, the yearly net benefit increasing rate was about 15%. Conclusion： Improving the using efficiency of operation room, increasing the volume of operation, enhancing cost control and developing new medical technology are the effective ways for the anesthesia operation department to improve economic and social benefits.