Katsi Vasiliki K, Vrachatis Dimitrios A, Politi Anastasia, Papageorgiou Manto, Koumoulidis Anastasios, Vlasseros Ioannis, Vavuranakis Manolis, Tousoulis Dimitrios, Stefanadis Christodoulos, Kallikazaros Ioannis, Souliotis Kyriakos
Cardiology Department, Hippokration Hospital, National Health System, Athens, Greece.
1st Department of Cardiology, Hippokration Hospital, National & Kapodistrian University of Athens, Athens, Greece.
Springerplus. 2014 Nov 29;3:703. doi: 10.1186/2193-1801-3-703. eCollection 2014.
The present study attempts to offer insight into the volume, cost, and productivity of the operation of a cardiac echocardiographic laboratory (echo-lab) in a major public hospital of Greece and thus to contribute, on a practical level, to the widening of knowledge in the strategic field of secondary and tertiary healthcare management. The conducted research includes the basic step of the deployment of a primary data registry in the echo-lab and unfolds in three levels, i.e. the variability measurement of the quantity and cost of medical services provided to different patient populations, the assessment of operating costs and the development of productivity indexes. The results show that the mean costs of provision do change among distinct patient populations. The most important, from a financial standpoint, population cluster appears to be the one corresponding to outpatients. Productivity indices presented in this analysis constitute an essential piece of information which the public healthcare system is currently largely lacking, and which, combined with the pricing and the diagnosis-related group coding system of hospitals, can be used to improve efficiency in the management of secondary and tertiary care.
本研究旨在深入了解希腊一家大型公立医院心脏超声心动图实验室（超声实验室）的运营量、成本和生产率，从而在实践层面为扩大二级和三级医疗管理战略领域的知识贡献力量。所开展的研究包括在超声实验室部署原始数据登记的基本步骤，并分三个层面展开，即测量提供给不同患者群体的医疗服务数量和成本的变异性、评估运营成本以及制定生产率指标。结果表明，不同患者群体的平均提供成本确实存在差异。从财务角度来看，最重要的患者群体似乎是门诊患者。本分析中呈现的生产率指标构成了公共医疗系统目前在很大程度上缺乏的重要信息，并且与医院的定价和诊断相关分组编码系统相结合，可用于提高二级和三级医疗管理的效率。
