Hakimoglu Sedat, Hancı Volkan, Karcıoglu Murat, Tuzcu Kasım, Davarcı Isıl, Kiraz Hasan Ali, Turhanoglu Selim
Sedat Hakimoğlu, MD, Assistant Professor, Department of Anesthesiology and Reanimation, Mustafa Kemal University, Faculty of Medicine, 31100, Serinyol, Antakya, Hatay, Turkey.
Volkan Hancı, MD, Associate Professor, Dept. of Anesthesiology and Reanimation, Dokuz Eylül University, Faculty of Medicine, İzmir, Turkey.
Pak J Med Sci. 2015 Sep-Oct;31(5):1089-94. doi: 10.12669/pjms.315.7520.
Increasing competitive pressure and health performance system in the hospitals result in pressure to reduce the resources allocated. The aim of this study was to evaluate the anesthesiology and intensive care physicians awareness of the cost of the materials used and to determine the factors that influence it.
This survey was conducted between September 2012 and September 2013 after the approval of the local ethics committee. Overall 149 anesthetists were included in the study. Participants were asked to estimate the cost of 30 products used by anesthesiology and intensive care units.
One hundred forty nine doctors, 45% female and 55% male, participated in this study. Of the total 30 questions the averages of cost estimations were 5.8% accurate estimation, 35.13% underestimation and 59.16% overestimation. When the participants were divided into the different groups of institution, duration of working in this profession and sex, there were no statistically significant differences regarding accurate estimation. However, there was statistically significant difference in underestimation. In underestimation, there was no significant difference between 16-20 year group and >20 year group but these two groups have more price overestimation than the other groups (p=0.031). Furthermore, when all the participants were evaluated there were no significant difference between age-accurate cost estimation and profession time-accurate cost estimation.
Anesthesiology and intensive care physicians in this survey have an insufficient awareness of the cost of the drugs and materials that they use. The institution and experience are not effective factors for accurate estimate. Programs for improving the health workers knowledge creating awareness of cost should be planned in order to use the resources more efficiently and cost effectively.
医院日益增加的竞争压力和健康绩效体系导致资源分配压力增大。本研究旨在评估麻醉科和重症监护科医生对所用材料成本的认知，并确定影响该认知的因素。
本调查在当地伦理委员会批准后，于2012年9月至2013年9月期间进行。共有149名麻醉医生参与了该研究。参与者被要求估算麻醉科和重症监护病房使用的30种产品的成本。
149名医生参与了本研究，其中女性占45%，男性占55%。在总共30个问题中，成本估算的平均值为准确估算占5.8%，低估占35.13%，高估占59.16%。当将参与者按机构、职业工作时长和性别分成不同组时，在准确估算方面没有统计学上的显著差异。然而，在低估方面存在统计学上的显著差异。在低估方面，16 - 20年组和>20年组之间没有显著差异，但这两组比其他组有更多的价格高估（p = 0.031）。此外，当对所有参与者进行评估时，年龄 - 准确成本估算和职业时长 - 准确成本估算之间没有显著差异。
本次调查中的麻醉科和重症监护科医生对他们使用的药品和材料成本认知不足。机构和经验不是准确估算的有效因素。为了更高效且经济地使用资源，应规划提高卫生工作者成本认知的知识培训项目。
