Valenzuela R C, Johnstone R E
Department of Anesthesiology, Robert C. Byrd Health Sciences Center of West Virginia University, Morgantown 26506-9134, USA.
J Clin Anesth. 1997 Mar;9(2):93-6. doi: 10.1016/S0952-8180(97)00230-4.
To survey cost containment activities in anesthesiology and to determine to what extent departments use cost policies and guidelines.
Mail survey.
Academic and large nonacademic anesthesiology departments.
147 responding departments answered 20 questions. 38% of surveys were returned. 90 responders identified themselves as academic departments and 57 responders as nonacademic. 73% of departments reported pressure from hospital administrators to reduce anesthesia costs. The most common cost-saving activity, used by 90% of departments, is improving operating room (OR) utilization. 53% of all departments have policies or guidelines to contain drug costs, while 48% of departments have these to contain other product costs. Departments reporting themselves as academic generally reported greater use of cost policies.
Anesthesiology departments are experiencing pressure to reduce costs and the majority have cost policies and guidelines concerning utilization of ORs and anesthetic drugs. Academic anesthesiology departments may be experiencing more cost-containment pressure than nonacademic departments.
调查麻醉学领域的成本控制活动，并确定各科室在何种程度上使用成本政策和指南。
邮寄调查。
学术性和大型非学术性麻醉科。
147个回复科室回答了20个问题。38%的调查问卷被返还。90个回复者将自己所在科室认定为学术性科室，57个回复者认定为非学术性科室。73%的科室报告称受到医院管理人员要求降低麻醉成本的压力。90%的科室采用的最常见的节省成本活动是提高手术室利用率。所有科室中有53%有控制药品成本的政策或指南，而48%的科室有控制其他产品成本的政策或指南。自称是学术性科室的部门普遍报告称更多地使用了成本政策。
麻醉科正面临降低成本的压力，且大多数科室有关于手术室使用和麻醉药物的成本政策和指南。学术性麻醉科可能比非学术性科室面临更大的成本控制压力。
