Gibek Mirosław, Danielewicz Piotr, Kłbler Andrzej
1st Department of Anaesthesiology and Intensive Therapy, Medical University in Wrocław, ul. Borowska 213, 50-556 Wrocław.
Anestezjol Intens Ter. 2011 Jul-Sep;43(3):153-6.
The costs of anaesthesia in Polish hospitals are usually calculated as a percentage of the cost of the surgical procedure, or as a percentage of the total cost of the operating theatre. These methods cannot be accurate, since they do not take into consideration, the specifics of anaesthesia. Therefore, a new method of calculation, based of the actual use of materials and manpower, has been introduced in our institution.
Anaesthesia procedures were divided into nine categories, according to risk of anaesthesia, type of surgery, type of anaesthesia, and working hours of the anaesthetic personnel. Each category was priced in points which expressed the actual value of the service provided, and the resulting totals were allocated to surgical specialties.
The costs of anaesthesia calculated by the new method differed markedly from previous calculations. The number of anaesthetics between 2008 and 2010 increased by 20%, while the cumulative costs of anaesthesia rose by only 13%, when compared to the previous method of calculation. Changes in anaesthesia costs, in various surgical specialties, varied from -49% to +65%, and were not related to the number of procedures.
The new scoring system made it possible to calculate actual anaesthesia costs in various surgical specialties. It is logical and practical and merits recommendation.
波兰医院的麻醉费用通常按手术费用的一定百分比计算，或按手术室总费用的一定百分比计算。这些方法并不准确，因为它们没有考虑到麻醉的特殊性。因此，我们机构引入了一种基于材料和人力实际使用情况的新计算方法。
根据麻醉风险、手术类型、麻醉类型和麻醉人员工作时间，将麻醉程序分为九类。每一类都以表示所提供服务实际价值的点数定价，并将所得总数分配到各个外科专科。
新方法计算出的麻醉费用与以前的计算结果有显著差异。与以前的计算方法相比，2008年至2010年麻醉剂使用量增加了20%，而麻醉累计费用仅上升了13%。不同外科专科的麻醉费用变化从-49%到+65%不等，且与手术数量无关。
新的评分系统使计算各个外科专科的实际麻醉费用成为可能。它合理且实用，值得推荐。
