Ruoff M, Schütz W, Geldner G
Universitätsklinik für Anästhesiologie, Universität Ulm.
Anaesthesiol Reanim. 1998;23(6):161-3.
In these times of declining government financial resources, public interest is focussing increasingly on the health service. The Health Care Reforms of 1993 and 1996 fundamentally changed its financial basis. Hospitals now have to hold their own both medically and more and more economically. In this report, the principles of medical controlling are described and its effects on the clinical routine of a university anaesthesia department. Strict controlling reduces not only the costs of individual fields, but also those of whole departments through coordinated ordering. It can also bring to light organizational and training deficits. It is of particular importance for optimizing an anaesthesia department to digest and comply with figures presented by administrative departments. It only makes sense to do this at a departmental level.
在政府财政资源不断减少的当下,公众的关注点越来越多地集中在医疗服务上。1993年和1996年的医疗改革从根本上改变了其财政基础。如今,医院不仅要在医疗方面,而且要在越来越多的经济方面实现自给自足。在本报告中,阐述了医疗控制的原则及其对大学麻醉科临床工作的影响。严格的控制不仅能降低各个领域的成本,还能通过协调采购降低整个科室的成本。它还能发现组织和培训方面的不足。对于优化麻醉科来说,理解并遵守行政部门提供的数据尤为重要。只有在科室层面这样做才有意义。