LaBove Gabrielle, Davison Steven P
DAVinci Plastic Surgery, Wash; and Georgetown University School of Medicine, Wash.
Plast Reconstr Surg Glob Open. 2016 Jul 19;4(7):e803. doi: 10.1097/GOX.0000000000000831. eCollection 2016 Jul.
Operating costs are a significant part of delivering surgical care. Having a system to analyze these costs is imperative for decision making and efficiency. We present an analysis of surgical supply, labor and administrative costs, and remuneration of procedures as a means for a practice to analyze their cost effectiveness; this affects the quality of care based on the ability to provide services. The costs of surgical care cannot be estimated blindly as reconstructive and cosmetic procedures have different percentages of overhead.
A detailed financial analysis of office-based surgical suite costs for surgical procedures was determined based on company contract prices and average use of supplies. The average time spent on scheduling, prepping, and doing the surgery was factored using employee rates.
The most expensive, minor procedure supplies are suture needles. The 4 most common procedures from the most expensive to the least are abdominoplasty, breast augmentation, facelift, and lipectomy.
Reconstructive procedures require a greater portion of collection to cover costs. Without the adjustment of both patient and insurance remuneration in the practice, the ability to provide quality care will be increasingly difficult.
运营成本是提供外科护理的重要组成部分。拥有一个分析这些成本的系统对于决策和效率而言至关重要。我们对手术耗材、劳动力和管理成本以及手术报酬进行了分析,以此作为一种让医疗机构分析其成本效益的方法;这基于提供服务的能力而影响护理质量。由于重建手术和美容手术的间接费用百分比不同,因此不能盲目估算外科护理的成本。
根据公司合同价格和耗材平均使用量,对门诊手术套房的手术成本进行了详细的财务分析。使用员工费率计算安排手术时间、术前准备时间和手术时间的平均时长。
最昂贵的小型手术耗材是缝合针。从最昂贵到最便宜的4种最常见手术依次是腹部整形术、隆胸术、面部除皱术和脂肪切除术。
重建手术需要更大比例的收入来覆盖成本。如果医疗机构不调整患者和保险支付报酬,那么提供优质护理的能力将越来越困难。