Hollander S D
Duke University Health System, Durham, NC 27710, USA.
Semin Laparosc Surg. 1999 Mar;6(1):11-6. doi: 10.1177/155335069900600103.
Laparoscopic surgery has revolutionized the outpatient surgery industry by increasing the types of surgical cases that can be performed on an outpatient or extended recovery basis. This article examines the economics surrounding laparoscopic surgery by discussing operational considerations as they relate to the surgical delivery of care. Methodologies for basic analysis of the financial impact of instituting or upgrading laparoscopic capabilities are presented for the physician's understanding of how technology affects an ever-shrinking base of reimbursement. Proposals by the Health Care Financing Administration in redesigning reimbursement for outpatient surgery services provided to Medicare beneficiaries are critically important in health care delivery because the growth in the over 65 group will soon be touched by the first of the baby-boomers. Finally, examples of various studies examining the significant direct costs for benchmarking and the advantages of laparoscopy as a surgical technique are presented.
腹腔镜手术通过增加可在门诊或延长康复基础上进行的手术病例类型，彻底改变了门诊手术行业。本文通过讨论与手术护理提供相关的操作考虑因素，审视了围绕腹腔镜手术的经济学问题。为使医生理解技术如何影响日益缩减的报销基数，本文介绍了对建立或升级腹腔镜手术能力的财务影响进行基本分析的方法。医疗保健财务管理局重新设计向医疗保险受益人提供的门诊手术服务报销方式的提议，在医疗保健提供中至关重要，因为65岁以上人群的增长很快将受到首批婴儿潮一代的影响。最后，本文列举了各项研究的实例，这些研究探讨了用于基准对比的重大直接成本以及腹腔镜作为一种手术技术的优势。
