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Amaç: Hastanelerde yüksek maliyetin sorun olduğu birimlerin arasında yoğun bakım üniteleri önemli yer tutmaktadır. Bu ünitelerde verilen hizmetin kalitesini ve devamlılığını sağlayabilmek için hastaneler belirli dönemlerde maliyet analizi yapmalıdır. Biz bu çalışmada üçüncü seviye hastanemizde bulunan yoğun bakım ünitelerinin bazı genel özelliklerini ve gelir-gider durumlarını ortaya koymayı amaçladık. Gereç ve Yöntem: Mayıs 2017-Mayıs 2018 tarihleri arasında 11 adet yoğun bakım ünitesine yatan toplam 5722 hastanın bazı demografik verileri, yoğun bakım ünitelerinin özellikleri ve gelir-gider durumları kaydedilip karşılaştırma yapıldı. Bulgular: Kardiyoloji, iç hastalıkları, çocuk hastalıkları, beyin cerrahi ve anestezi yoğun bakımların doluluk oranları daha yüksek olmuştur. Ortalama yoğun bakım yatış süreleri ise çocuk hastalıkları, yenidoğan, anestezi ve nöroloji yoğun bakımlarda daha yüksek olmuştur. Mortalite oranları yenidoğan ve kardiyoloji yoğun bakımlarda daha düşük olurken, en yüksek oran göğüs hastalıkları yoğun bakımda tespit edilmiştir (Sırasıyla %1, %4,5 ve %51,2). Yoğun bakımların giderleri birinci, ikinci ve üçüncü kısım olarak gruplandırılarak hesaplandı. Gelirler ise basamaklarına göre hesaplandıktan sonra aradaki gelirler ve giderler arasındaki fark bulundu. Yoğun bakımların toplam giderleri 30.498.563,49 TL olurken, gelir 30.555.040,35 TL olmuştur. Sonuçta 56.476,86 TL fark elde edilmiştir. Sonuç: Sosyal Güvenlik Kurumu tarafından basamak sistemi esas alınarak yapılan yoğun bakım geri ödemelerinin toplamda hastanelerin bu alandaki maliyetleri için yeterli olduğu görülmüştür.
Purpose: In the hospitals, intensive care units have an important place among the units where the high cost is a problem. In order to ensure the quality and continuity of the services provided in these units, hospitals must conduct cost analysis in certain periods. In this study, we aimed to reveal some general characteristics and income and expenditure conditions of the intensive care units located in our third-level hospital. Tools and Methods: A total of 5722 patients from 11 intensive care units between May 2017 and May 2018 have been recorded and compared with some demographic data, the characteristics of intensive care units and the income and expenditure conditions. The findings: Cardiology, internal diseases, child diseases, brain surgery and anesthesia intensive care have been higher. The average intensive care periods have been higher in children's diseases, newborns, anesthesia and neurology intensive care. The mortality rates are lower in newborn and cardiology intensive care, while the high rate of breast diseases has been detected in intensive care (respectively 1, 4,5% and 51,2%). The expenditure of intensive maintenance was calculated by grouping the first, second and third parts. The revenue is calculated after the difference between the revenue and the expenditure. The total expenses of intensive maintenance were 30.498.563,49 TL, while the income was 30.555.040,35 TL. It was 56.476.86 rupees. The result: the intensive care refunds made by the Social Security Institution on the basis of the staircase system have been shown to be sufficient for the costs of hospitals in this area.
Purpose: Intensive care units have an important place among the units of hospitals with high cost problems. In order to ensure the quality and continuity of the service provided in these units, hospitals should perform cost analysis in certain periods. In this study, we aimed to present some general characteristics and income-expense conditions of intensive care units in our third level hospital. Materials and Methods: Demographic data, features of intensive care units and income-expenditure status of 5722 patients who stayed in 11 intensive care units between May 2017 and May 2018 were recorded and compared. Expenses for intensive care units were calculated by grouping as first, second and third parts. Results: Cardiology, internal diseases, pediatric diseases, neurosurgery and anesthesia intensive care units had higher occupancy rates. Mean duration of intensive care unit hospitalization was higher in pediatric diseases, newborn, anesthesia and neurology intensive care units. Mortality rates were found to be the lowest in neonatal and cardiology intensive care units, while the highest rate was found in pulmonary diseases intensive care unit (1%, 4.5% and 51.2%, respectively). After the income was calculated according to the intensive care unit levels, the difference between the incomes and expenses was found. Total expenses of intensive care units amounted to TL 30.498.563,49, while income was TL 30.555.040,35. A difference of TL 56.476,86 was obtained. Conclusion: Intensive care payments based on the level system by the Social Insurance Institution were found to be sufficient for the costs of the hospitals in this area.
Field : Sağlık Bilimleri
Journal Type : Uluslararası
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