Calculation of staffing requirements in anesthesia

被引:3
|
作者
Iber, T. [1 ]
Bauer, M. [2 ]
Kloess, T. [3 ]
机构
[1] Univ Klinikum Rostock AOS, Klin & Poliklin Anathesiol & Intensivtherapie, D-18055 Rostock, Germany
[2] Univ Klinimum Schleswig Holsteein, Klin Anasthesiol & Operat Intensivmed, Kiel, Germany
[3] Univ Halle Wittenberg, Univ Klinikum, Halle, Germany
来源
ANAESTHESIST | 2007年 / 56卷 / 12期
关键词
staffing requirements; DRG; organization; theater-related and non-theater-related anesthesiological services; process orientation;
D O I
10.1007/s00101-007-1241-6
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Historically, calculation of staffing requirements for anesthesia has developed from index numbers derived from the workplace method to the service performance method (XX time). The DRG revenues result from an average calculation of costs that results from an assumed calculation of staffing requirements based on the service performance method. In contrast to the principle of full cost coverage, a much stronger process orientation is needed under the conditions of the DRG system. When calculating personnel needs this process orientation also requires that it be oriented to the organization by differentiating between theater-related and non-theater-related anesthesiological services. In a second step the services rendered in a specified organization are then assessed for efficiency and if necessary optimized. Just as it applies to the whole clinical center, in departments of anesthesiology DRG revenues should be brought in line with the actual costs.
引用
收藏
页码:1267 / 1272
页数:6
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