PMID- 11187431
OWN - NLM
STAT- MEDLINE
DCOM- 20010322
LR  - 20061115
IS  - 0323-4983 (Print)
IS  - 0323-4983 (Linking)
VI  - 26
IP  - 5
DP  - 2000
TI  - [Cost control in anesthesiology--regulating net costs exemplified by 
      anesthetics].
PG  - 122-7
AB  - German hospitals are beginning to feel more and more pressure due to rising costs 
      in health care. These are due to continuous increase in health care expenditure 
      and decrease in state insurance contributions. A change in the state insurance 
      system (GKV) is well and truly overdue; the source of income needs to be 
      increased by either raising the compulsory insurance wage base or making other 
      forms of income liable for insurance contributions. Unfortunately, the government 
      is still reluctant to take action. The ruling coalition feels that it is better 
      to limit the increase in expenditure on hospital care by introducing a 
      case-related payment system. Unfortunately, they do not recognize that the main 
      reason for the increase in health care expenditure is the growing medical 
      potential and the higher morbidity of an, on average, older population. These 
      cuts in financial means demand an efficient allocation of the available funds. As 
      far as hospital in-patient care is concerned, this means that hospitals need to 
      reconsider their expenditure and that economic success is dependent on their 
      potential to recognize ways of reducing overall costs. This article illustrates 
      that before the "Diagnosis Related Groups" (DRG) become effective in 2003, one 
      needs to establish the cost price of individual hospital cases. The economic 
      principles of cost-benefit ratios and methods to prevent cost inflation are 
      presented. The methods of making a cost-effectiveness analysis of anaesthetic 
      costs are explained in detail. The aim of this paper is to give the clinician a 
      better understanding of cost management and to motivate staff to initiate 
      cost-control studies.
FAU - Bauer, M
AU  - Bauer M
AD  - Klinik fur Anaesthesiologie, Universitat Heidelberg.
FAU - Bottiger, B W
AU  - Bottiger BW
FAU - Martin, E
AU  - Martin E
FAU - Bach, A
AU  - Bach A
LA  - ger
PT  - English Abstract
PT  - Journal Article
TT  - Kostenkontrolle in der Anasthesiologie--Ermittlung der Selbstkosten am Beispiel 
      der Anasthetika.
PL  - Germany
TA  - Anaesthesiol Reanim
JT  - Anaesthesiologie und Reanimation
JID - 7611455
RN  - 0 (Anesthetics)
SB  - IM
MH  - Anesthesiology/*economics
MH  - Anesthetics/*economics
MH  - Cost Control
MH  - Germany
MH  - Hospital Costs/*statistics & numerical data
MH  - Humans
MH  - National Health Programs/*economics
EDAT- 2001/02/24 12:00
MHDA- 2001/03/27 10:01
CRDT- 2001/02/24 12:00
PHST- 2001/02/24 12:00 [pubmed]
PHST- 2001/03/27 10:01 [medline]
PHST- 2001/02/24 12:00 [entrez]
PST - ppublish
SO  - Anaesthesiol Reanim. 2000;26(5):122-7.