Thomusch O, Weber K, Sekulla C, Dralle H
Klinik für Allgemeinchirurgie, Medizinischen Fakultät, Martin-Luther-Universität Halle-Wittenberg.
Chirurg. 1997 Oct;68(10):989-93; discussion 993-4. doi: 10.1007/s001040050307.
On 1 January 1996, the implementation of the new recompense system, the Bundespflegesatzverordnung (BPflV), at the Medical University Halle replaced the former German hospital financing system based on clinic-dependent individual prices. This was the beginning of a new price-performance system of the German hospital market. Since then, for all surgical procedures (catalogue section 301 SGB V ICPM 5061-5064) for benign and malignant thyroid diseases a detailed cost analysis has been performed. Our personnel and material inputs were documented on-line in the operating theatre on a special designed cost-analysis record. The cost analysis was based on 14 cases of lobectomy (average operative costs DM 1886.82), and 20 each of bilateral subtotal thyroidectomy (average DM 1970.48), unilateral subtotal thyroidectomy with contralateral lobectomy (average DM 2164.26) and total thyroidectomy (average DM 2396.70) respectively. In 12 cases the costs of total thyroidectomy with cervical and transthoracal lymphadenectomy have been analyzed (average DM 4664.48).
1996年1月1日，哈雷医科大学实施了新的薪酬制度，即《联邦护理费率条例》（BPflV），取代了此前基于各诊所单独定价的德国医院融资体系。这是德国医院市场新的性价比体系的开端。从那时起，针对所有良性和恶性甲状腺疾病的外科手术（《社会法典》第五卷第一编医疗服务目录章节301，国际疾病分类与手术操作编码5061 - 5064）进行了详细的成本分析。我们的人力和物力投入在手术室通过一份专门设计的成本分析记录进行在线记录。成本分析基于14例甲状腺叶切除术（平均手术成本1886.82德国马克），以及分别为20例双侧甲状腺次全切除术（平均1970.48德国马克）、单侧甲状腺次全切除术加对侧甲状腺叶切除术（平均2164.26德国马克）和甲状腺全切除术（平均2396.70德国马克）。在12例病例中分析了甲状腺全切除术加颈部及经胸淋巴结清扫术的成本（平均4664.48德国马克）。
