Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
J Eur Acad Dermatol Venereol. 2010 Apr;24(4):445-8. doi: 10.1111/j.1468-3083.2009.03440.x. Epub 2009 Sep 10.
Appropriate pricing for medical services of not-for-profit hospital is necessary. The prices should be fair to the public and should be high enough to cover the operative costs of the organization.
The purpose of this study was to determine the cost and unit cost of medical services performed at the Mohs and Dermasurgery Unit (MDU), Department of Dermatology, The University of Texas-MD Anderson Cancer Center, Houston, TX from the healthcare provider's perspective.
MDU costs were retrieved from the Financial Department for fiscal year 2006. The patients' statistics were acquired from medical records for the same period. Unit cost calculation was based on the official method of hospital accounting.
The overall unit cost for each patient visit was $673.99 United States dollar (USD). The detailed unit cost of nurse visit, new patient visit, follow-up visit, consultation, Mohs and non-Mohs procedure were, respectively, $368.27, $580.09, $477.82, $585.52, $1,086.12 and $858.23 USD. With respect to a Mohs visit, the unit cost per lesion and unit cost per stage were $867.89 and $242.30 USD respectively.
Results from this retrospective study provide information that may be used for pricing strategy and resource allocation by the administrative board of MDU.
非营利性医院的医疗服务定价是必要的。价格应该对公众公平,并且应该足够高以覆盖组织的运营成本。
本研究的目的是从医疗服务提供者的角度确定德克萨斯大学 MD 安德森癌症中心皮肤科 Mohs 和皮肤外科(MDU)的医疗服务的成本和单位成本。
从 2006 财年的财务部门检索 MDU 成本。同期从病历中获取患者统计数据。单位成本计算基于医院会计的官方方法。
每位患者就诊的总单位成本为 673.99 美元。护士就诊、新患者就诊、随访就诊、咨询、Mohs 和非 Mohs 手术的详细单位成本分别为 368.27 美元、580.09 美元、477.82 美元、585.52 美元、1086.12 美元和 858.23 美元。对于 Mohs 就诊,每个病变的单位成本和每个阶段的单位成本分别为 867.89 美元和 242.30 美元。
这项回顾性研究的结果提供了可能被 MDU 行政委员会用于定价策略和资源分配的信息。