Özet:

Purpose: In a public hospital's ortopedian and traumatological clinic, the process in which patients undergoing an arthroplastic surgery are treated by bed, the institution is intended to investigate the costs incurred and compare with the amount invoiced. Methods: From 01.01.2016 to 30.09.2017 in a public hospital total revision of the knee arthroplasty surgery of 50 patients has been identified demographic information and revision causes. Patients are divided into two groups septically and aseptically. Patients, as long as they have been treated by bed, medication/serum, treatment, surgery, anesthesia, imaging, laboratory, blood and blood products, food, accompanying costs, equipment amortisation costs, consultation, control examination, pre-operative patient preparation stage, visit and other costs are calculated separately for each patient. Results: The total cost of a patient is an average of 24.005,00 TL, while the invoice amount is an average of 21.490,00 TL, and there is a difference between 2.515,00 TL. This difference was identified as 3,193,00 TL in patients in the septic group and 2,166,00 TL in patients in the aseptic group. In the septic group, the stay time, medication, treatment, surgery, anesthesia, laboratory, imaging, blood center, consultation, visit, food costs, total costs and the invoice amount were found higher than the aseptic group significantly (July0,05) The result: it is necessary to make regulations by the Social Security Institution to ensure the financial sustainability of the public hospital. Furthermore, monitoring of medical and technical innovations in review surgery can help reduce costs.

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