Üç Kamu Üniversite Hastanesinde Gerçekleştirilen Kardiyoloji ve Kalp Damar Cerrahisi İşlemlerinde Paket Fiyat Uygulamalarnın Değerlendirilmesi
Abstract
Objective: The assessment of package operations held in 2012, in Cardiology and Cardiovascular Surgery (CVS) clinics of three public university hospitals in Ankara was aimed.
Material and Method: The data of 12988 package operations held in 2012, in Cardiology and Cardiovascular Surgery (CVS) clinics of the hospitals were investigated retrospevtively. After investigation, 705 CVS and 2719 Cardiology package operations of A Hospital, 335 CVS and 1005 Cardiology package operations of B Hospital and 321 CVS and 2556 Cardiology package operations of C Hospital were included in this research.
Results: It was observed that 65,3% of Cardiology operations of A hospital was out of package and average loss was -353,9 TL, 61,5% of CVS operations of A Hospital was out of package and average loss was -651,7 TL, 25,4% of Cardiology operations of B Hospital was out of package and average profit was 34,1 TL, 31,3% of
CVS operations of B Hospital was out of package and average profit was 434,0 TL, 43,2% of Cardiology operations of C Hospital was out of package and average loss was -119,9 TL, 41,7% of CVS operations of C Hospital was out of package and average profit was 764,6 TL.
Conclusion: It can be stated that there were accural losses in fourteen of fortythree different Cardiology and CVS operations held in three public hospitals and the package prices therefore weren’t sufficient for those fourtythree operations. On the other hand, it was observed that the package prices were sufficient for eight
VS operations in which accrud profit ensured. As a consequence; it can be forseen that there is no correlation between the two lists of Health Application Services, Payment List Per Service and Operations List Based on Diagnosis, in terms of prices.
Keywords
Hospital, Package Price, Health Application Service, Cardiology, Cardiovasculer Surgery
References
- 1. Top M, Tarcan M, Hastane Sektöründe Kaynak Ak: Hastane Ödeme Yöntemleri. Gazi Üniversitesi ktisadi ve dari Bilimler Dergisi 2007; 9: 169-189.
- 2. Aral A, Salkta Yeni Dönem DRG. Ankara: Bizim Akademi Yaynlar; 2014.
- 3. Arba , Erkol Ü, Hastanelerde Maliyet Analizi ve Faaliyet Tabanl Maliyetleme Yöntemine Dair Bir Uygulama. Ankara Üniversitesi Tp Fakültesi Mecmuas 2011;64: 87-95.
- 4. Çelik Y, Salk Ekonomisi. Ankara: Siyasal kitapevi; 2011.
- 5. Yldz G, Kurumsal Salk Hizmeti Sunucular ndan Hastanelere Yaplan Ödeme Yöntemlerine likin Sorunlarn Alglanma Biçimleri: Ankara li Uygulamas. Gazi Üniversitesi Sosyal bilimler Enstitüsü Hastane letmecilii Bilim Dal Yüksek Lisans Tezi; 2008.
- 6. Waters HR, Hussey P, Pricing Health Services For Purchasers-a Review of Methods and Experiences. Health Policy. 2004;7:175-184.
- 7. Akbulut Y, Salk Sigortacl. “Türkiye’de Salk Sigortaclnn Tarihsel Geli- imi” çinde (Editör: Yldrm, HH.) Anadolu Üniversitesi Yaynlar, Yayn No: 2527, 2012, skiehir.
- 8. Tatar M,Tanya Dayal Gruplar ve Salk Hizmetleri Kaynak Gruplar. 2008: http://pitstop.com.tr/taniya-dayaligruplar- ve-saglik-hizmeti-kaynakgruplari/. Eriim Tarihi Austos 15, 2014.
- 9. SUT Klavuzu: www.ssk.gov.tr, Genel Salk Sigortas. Eriim Tarihi Temmuz 16,2014.
- 10. Boyac Y.A, Üniversite Hastanelerinde Uygulanan Salk Paket Program Uygulamalar nn Maliyet Analizi, Pamukkale Üniversitesi Eitim Uygulama Ve Ara- trma Hastanesinde Bir Uygulama. stanbul Üniversitesi, Sosyal Bilimler Enstitüsü Yüksek Lisans Tezi; 2006.