Braun S L, Vogt W
Institut für Klinische Chemie und Laboratoriumsmedizin, Deutsches Herzzentrum München des Freistaates Bayern, Bundesrepublik Deutschland.
Wien Klin Wochenschr Suppl. 1992;192:32-7.
New analytical methods have to be considered also with respect to their economic efficiency. Here we present the application of an economic analysis based on the rules of applied economics in our institute for clinical chemistry and laboratory medicine. We started with an analysis of laboratory structure and economic efficiency in 1988, which since then has been followed by a continuously performed laboratory controlling system. The results of unit costing show the different cost groups, which add up to the cost of a single electrolyte determination. Regarding the transferability of our data to other laboratories, one has to consider that the main cost groups besides personnel cost are the apportionment of the overhead cost and the depreciation cost; both may vary markedly between each laboratory. Variable cost (reagents and consumables) differ widely from flame photometry to enzymatic electrolyte determination, but they amount only to 3-15% of the total cost.
新的分析方法还必须从其经济效率方面加以考虑。在此,我们介绍基于应用经济学规则的经济分析在我们临床化学与检验医学研究所的应用。我们于1988年开始对实验室结构和经济效率进行分析,自那时起便持续实施实验室控制系统。单位成本核算结果显示了不同的成本类别,这些成本类别加起来构成了单次电解质测定的成本。关于我们的数据向其他实验室的可转移性,必须考虑到除人员成本外,主要成本类别是间接费用分摊和折旧成本;这两者在每个实验室之间可能会有显著差异。从火焰光度法到酶法电解质测定,可变成本(试剂和耗材)差异很大,但它们仅占总成本的3%至15%。