Busch H-P
Zentrum für Radiologie, Sonographie und Nuklearmedizin, Krankenhaus der Barmherzigen Brüder, Trier.
Rofo. 2010 Mar;182(3):221-8. doi: 10.1055/s-0028-1110033. Epub 2010 Feb 8.
Continuous optimization of the process of organization and medical treatment is part of the successful management of radiological departments. The focus of this optimization can be cost units such as CT and MRI or the radiological parts of total patient treatment. Key performance indicators for process optimization are cost- effectiveness, service quality and quality of medical treatment. The potential for improvements can be seen by comparison (benchmark) with other hospitals and radiological departments. Clear definitions of key data and criteria are absolutely necessary for comparability. There is currently little information in the literature regarding the methodology and application of benchmarks especially from the perspective of radiological departments and case-based lump sums, even though benchmarking has frequently been applied to radiological departments by hospital management.
The aim of this article is to describe and discuss systematic benchmarking as an effective starting point for successful process optimization. This includes the description of the methodology, recommendation of key parameters and discussion of the potential for cost-effectiveness analysis. The main focus of this article is cost-effectiveness (efficiency and effectiveness) with respect to cost units and treatment processes.
持续优化组织和医疗流程是放射科成功管理的一部分。这种优化的重点可以是诸如CT和MRI等成本单元,或者是患者整体治疗中的放射学部分。流程优化的关键绩效指标是成本效益、服务质量和医疗质量。通过与其他医院和放射科进行比较(基准对比)可以看出改进的潜力。为了具有可比性,关键数据和标准的明确定义绝对必要。目前文献中关于基准对比方法及其应用的信息很少,尤其是从放射科和基于病例的包干费用的角度来看,尽管医院管理层经常将基准对比应用于放射科。
本文的目的是描述和讨论系统的基准对比,将其作为成功进行流程优化的有效起点。这包括方法的描述、关键参数的推荐以及成本效益分析潜力的讨论。本文的主要重点是关于成本单元和治疗流程的成本效益(效率和效果)。