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脊柱手术的病例成本核算:外科医生能否协助准确记录手术室成本?

Case costing in spine surgery: Can surgeons assist with accurate capture of operating room costs?

作者信息

Glennie R Andrew, Oxner William M, Alant Jacob, Barry Sean P, Christie Sean

机构信息

Department of Surgery, 12361Dalhousie University, Halifax, Nova Scotia, Canada.

Nova Scotia Health, Halifax, Nova Scotia, Canada.

出版信息

Healthc Manage Forum. 2021 May;34(3):158-162. doi: 10.1177/0840470420969915. Epub 2020 Nov 5.

Abstract

Surgical case costing is critical for health leaders to make decisions about resource utilization. Synoptic reporting offers the potential for surgeons to capture these costs and work with other leaders to make evidence-based decisions. The purpose of this study was to determine whether surgeons documented intra-operative cost drivers as part of their operative report. This article outlines a synoptic reporting system at a quaternary spine care centre. Data were captured from 2015 to 2020. Surgeon rates of documentation for specific devices, bone graft, and surgical adjuncts were evaluated. It is hoped that the results of this survey will help to guide programs to capture costs in other settings.

摘要

手术病例成本核算对于医疗领导者做出资源利用决策至关重要。概要报告为外科医生提供了记录这些成本并与其他领导者合作做出循证决策的可能性。本研究的目的是确定外科医生是否将术中成本驱动因素记录为手术报告的一部分。本文概述了一家四级脊柱护理中心的概要报告系统。收集了2015年至2020年的数据。评估了外科医生对特定设备、骨移植和手术辅助材料的记录率。希望本次调查结果将有助于指导其他环境下的成本核算项目。

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