Stratmann L, Nelles S, Heinen-Kammerer T, Rychlik R
Institut für Empirische Gesundheitsökonomie, Am Ziegelfeld 28, 51399 Burscheid, Deutschland.
Schmerz. 2007 Nov;21(6):514-21. doi: 10.1007/s00482-007-0551-6.
This systematic literature review was conducted to analyze the costs of postoperative patient controlled analgesia (PCA) in Germany.
The literature search comprised the search criteria "therapeutic procedure", "postoperative pain management", the routes of administration "intravenous PCA" (PCIA) and "epidural PCA" (PCEA), as well as their corresponding costs and economic analyses.
Due to differences in indications, calculated costs and medical expenses it was not possible to compare the results from the respective studies.
A critical examination of benefits and costs of therapeutic options in hospitals has become necessary with the implementation of the German DRG compensation system. This has created a substantial need for the optimization of resources and processes. There is an enormous demand for research on the costs for PCA in Germany. The identification of cost-driving factors is necessary to determine saving potentials and thereby develop new technologies for postoperative analgesia.
进行这项系统文献综述以分析德国术后患者自控镇痛（PCA）的成本。
文献检索包括搜索标准“治疗程序”“术后疼痛管理”、给药途径“静脉PCA”（PCIA）和“硬膜外PCA”（PCEA），以及它们相应的成本和经济分析。
由于适应症、计算成本和医疗费用的差异，无法比较各研究的结果。
随着德国疾病诊断相关分组（DRG）补偿系统的实施，对医院治疗方案的效益和成本进行批判性审查变得必要。这产生了对资源和流程优化的巨大需求。德国对PCA成本研究的需求巨大。确定成本驱动因素对于确定节约潜力从而开发术后镇痛新技术是必要的。
