Hukins G B, Richter A M, van Staden N
Department of Family Medicine, University of the Witwatersrand, Johannesburg.
S Afr Med J. 2001 Jan;91(1):66-72.
To determine the types of surgical procedures currently undertaken in day clinics and to compare the number of procedures, the average in-facility cost, and the pre- and post-discharge costs for each procedure or group of procedures.
A retrospective descriptive study of medical aid claims data.
Department of Family Medicine, University of the Witwatersrand, Johannesburg.
Three private sector medical aid schemes with in excess of 170,000 principal members (380,000 lives).
For each surgical procedure the following were compared: (i) the total number of procedures done; (ii) the average total in-facility cost; and (iii) the cost of professional fees and medicines for 7 days before admission, during admission, and for 14 days after discharge.
During 1997, 89,216 patients underwent surgery. Day clinics and hospitals accounted for 5,490 and 83,726 admissions respectively. Fifty-one different types of procedures were identified that met the inclusion criteria. On average the in-facility costs for 45 (88%) of the 51 compared procedures were lower in day clinics compared with hospitals. Average costs can be as much as 90% lower in day clinics. Some procedures, particularly certain dental operations, cost more in day clinics. The professional fees of attending doctors and the cost of medicines are generally higher when the procedure is undertaken in a hospital.
In South Africa, as is the case in the USA, day clinics have the potential to reduce the cost of surgical procedures.
确定日间诊所目前开展的外科手术类型，并比较每种手术或手术组的手术数量、平均住院费用以及出院前后的费用。
对医疗援助索赔数据进行回顾性描述性研究。
约翰内斯堡威特沃特斯兰德大学家庭医学系。
三个私营部门医疗援助计划，主要成员超过170,000人（共380,000人）。
对每种外科手术比较以下内容：（i）手术总数量；（ii）平均住院总费用；（iii）入院前7天、住院期间以及出院后14天的专业费用和药品费用。
1997年期间，89,216名患者接受了手术。日间诊所和医院的入院人数分别为5,490人和83,726人。确定了51种符合纳入标准的不同类型手术。在51种可比手术中，45种（88%）手术的日间诊所住院费用平均低于医院。日间诊所的平均费用可能低至90%。某些手术，特别是某些牙科手术，在日间诊所的费用更高。在医院进行手术时，主治医生的专业费用和药品费用通常更高。
与美国情况一样，在南非，日间诊所有可能降低外科手术费用。
