Üç Kamu Üniversite Hastanesinde Gerçekle􀄹tirilen Kardiyoloji ve Kalp Damar Cerrahisi 􀄝􀄹lemlerinde Paket Fiyat Uygulamalarnn De􀃾erlendirilmesi

Year 2016, Volume: 69 Issue: 1, 15 - 20, 03.06.2016

Tugba Denge

Abstract

Project Number

-

Assessment of Package Price Applications in Cardiology and Cardiovascular Surgery Operations in Three Public University Hospitals

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

Ethical Statement

-

Supporting Institution

-

Project Number

-

Thanks

-

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, Sa􀃸lkta Yeni Dönem DRG. Ankara: Bizim Akademi Yaynlar; 2014.
• 3.􀀃 A􀃸rba􀃻 􀃹, 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, Sa􀃸lk Ekonomisi. Ankara: Siyasal kitapevi; 2011.
• 5.􀀃 Yldz G, Kurumsal Sa􀃸lk Hizmeti Sunucular ndan Hastanelere Yaplan Ödeme Yöntemlerine 􀃹li􀃻kin Sorunlarn Alglanma Biçimleri: Ankara 􀃹li Uygulamas. Gazi Üniversitesi Sosyal bilimler Enstitüsü Hastane 􀃹􀃻letmecili􀃸i 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, Sa􀃸lk Sigortacl􀃸. “Türkiye’de Sa􀃸lk Sigortacl􀃸nn Tarihsel Geli- 􀃻imi” 􀃹çinde (Editör: Yldrm, HH.) Anadolu Üniversitesi Yaynlar, Yayn No: 2527, 2012, ski􀃻ehir.
• 8.􀀃 Tatar M,Tanya Dayal Gruplar ve Sa􀃸lk Hizmetleri Kaynak Gruplar. 2008: http://pitstop.com.tr/taniya-dayaligruplar- ve-saglik-hizmeti-kaynakgruplari/. Eri􀃻im Tarihi A􀃸ustos 15, 2014.
• 9.􀀃 SUT Klavuzu: www.ssk.gov.tr, Genel Sa􀃸lk Sigortas. Eri􀃻im Tarihi Temmuz 16,2014.
• 10.􀀃 Boyac Y.A, Üniversite Hastanelerinde Uygulanan Sa􀃸lk Paket Program Uygulamalar nn Maliyet Analizi, Pamukkale Üniversitesi E􀃸itim Uygulama Ve Ara􀃻- trma Hastanesinde Bir Uygulama. 􀃹stanbul Üniversitesi, Sosyal Bilimler Enstitüsü Yüksek Lisans Tezi; 2006.
• 11.􀀃 Çakr Y, Sa􀃸lk Hizmetlerinde Katlm Pay Uygulamas Ve Bu Uygulamann Sosyal Devlet 􀃹lkesi ve Sosyal Güvenlik Hakk Bakmndan 􀃹ncelenmesi. Say􀃻tay Dergisi 2011; 80: 85-105.
• 12.􀀃 Eminsoy G.M, Paket Ameliyatlardan Laparoskopik Kolesistektominin Hizmet Maliyetlerinin Belirlenmesi ve BUT-SUT Fiyatlaryla Kar􀃻la􀃻trlmas. Ba􀃻kent Üniversitesi Sosyal Bilimler Enstitüsü Yüksek Lisans Tezi; 2008.
• 13.􀀃 Ceran Y, Özdemir Ç, Sa􀃸lk 􀃹􀃻letmelerinde Paket 􀃹􀃻lem Fiyat Uygulamasnn Hedef Maliyetleme Yöntemi ve Stratejik Pazarlama Muhasebesi Açsndan De􀃸erlendirilmesi ve Özel X Diyaliz Merkezinde Bir Uygulama. Selçuk Üniversitesi 􀃹ktisadi ve 􀃹dari Bilimler Fakültesi Sosyal ve Ekonomik Ara􀃻trmalar Dergisi 2013; 26: 450-478.
• 14.􀀃 Aytekin V, Paket Fiyat Uygulamalar Hastay m Kurumlar m Korumaktadr? Türk Kardiyoloji Derne􀃸i Dergisi 2005; 33: 281-283.
• 15.􀀃Ylmaz M. B, Büyükkaramkl Ç.N, Çakan N, ve ark. Rasyonel Bir Maliyetlendirme Sistemi Risk Faktörlerini Göz Önüne Almal: Koroner Anjiyografi Paket Uygulamas nn De􀃸erlendirilmesi. Türk Kardiyoloji Derne􀃸i Ar􀃻ivi 2005; 33:5.