Magid E, Bartels P D, Brandslund I, Christensen M S, Fahrenkrug J, Hørder M, Olsen H, Pedersen K O, Riber E
Klinisk kemisk afdeling, Sundby Hospital, København S.
Ugeskr Laeger. 1991 Sep 23;153(39):2730-3.
Cost accounting is performed in private and public laboratories. Guidelines for these activities are required and with this objective in mind, the Board of the Danish Society of Clinical Chemistry commissioned a working group to produce a position paper which is presented now in this report. The report discusses the objectives, the principles and the general requirements for cost accounting. The significance of information on costs for the clinicians' rational use of the laboratory is also illustrated. The working group points out that prerequisites for lucid and appropriate costing guidelines are clarification of which purposes information on costs are meant to serve, identification of the relevant cost centers and quality assurance of laboratory services to a defined extent. It is common practice to express laboratory costs as costs per test. The report advocates calculation of the cost per patient contact, i.e. the overall costs for laboratory service in a given investigative situation.
成本核算在私立和公立实验室中均有开展。开展这些活动需要相关指南,出于这一目的,丹麦临床化学学会理事会委托一个工作组撰写一份立场文件,该文件现呈于本报告之中。本报告讨论了成本核算的目标、原则和一般要求。还阐述了成本信息对于临床医生合理使用实验室的重要性。工作组指出,清晰且恰当的成本核算指南的先决条件是明确成本信息旨在服务的目的、确定相关成本中心以及在一定程度上确保实验室服务的质量。将实验室成本表示为每项检测的成本是常见做法。本报告主张计算每次患者接触的成本,即在特定检测情况下实验室服务的总成本。