论文部分内容阅读
临床医生应对合理使用资源负责,即使在财政节制的情况下,也必须维持临床标准。医院应强调提醒会诊医生,因为他们动用大部分卫生保健费用。会诊医生动用的费用与治疗的病人有关。所以开始就得为每个病人的护理估计成本。 1971年我通过阿伯丁皇家医院的外科病房研究了6个月期间的所有病人。该病房为阿伯丁医院25％的选择性外科手术和急诊外科手术工作量提供需要,并且为了本研究的目的,该病房配备了与其它3个外科病房相等的工作人员。由一名护士和我本人将护理项目、药物和外科手术治疗及其它治疗逐日细心地记录并归类。为了设计一个疾病的成本计算方式,必须了解在工作人员、设备以及病人的其它资源的消耗分布。这些费用分为3种: 1、单个病人的成本:该成本明显地与病人有关。如药物、输液等。 2、资源成本:这些来自病人在观察和治疗部门中所用的医疗、辅助医疗和护理上的照顾。
Clinicians should be responsible for the rational use of resources, and even in the case of fiscal restraint, they must maintain clinical standards. The hospital should emphasize the reminder of consultation doctors because they use most of the health care costs. The expenses incurred by the consultation doctors are related to the patients treated. So start with the cost estimate for each patient’s care. In 1971 I studied all patients during the 6-month period through the surgical ward of the Aberdeen Royal Hospital. The ward provided a need for 25% of selective surgery and emergency surgical workload at Aberdeen Hospital, and for the purpose of this study, the ward was equipped with staff equal to the other three surgical wards. A nurse and myself will carefully record and classify care items, medications and surgical treatments and other treatments day by day. In order to design a cost calculation method for a disease, it is necessary to understand the consumption distribution of the staff, equipment, and other resources of the patient. These costs are divided into three types: 1. The cost of an individual patient: The cost is obviously related to the patient. Such as drugs, infusions and so on. 2. Resource Costs: These come from the patient’s care in the observation and treatment departments, medical care, supportive care, and care.