Özet:

Due to the increase in the prevalence of obesity in our country, it is predicted that the costs will increase gradually in the coming years, which will have serious effects on the financial sustainability of the health system. From this point of view, it is aimed to benefit the relevant stakeholders in the management of hospitals by determining the rate of direct costs caused by obesity in the patient group who underwent surgery with the diagnosis of Inguinal Hernia, Femoral Hernia, Umbilikal Hernia and Epigastric Hernia. Adult patients who do not develop complications and do not have additional diseases were included in the study, and individuals were included in the study according to the National Institutes of Health (NIH) obesity classification Body Mass Index (BMI) (BMI = Body Weight (kg) / Height m2) Underweight, Normal, Overweight, Type I Obese, Type II Obese, Type III Obese were divided into categories and cost calculations were made. The costs incurred in the surgery expenses were evaluated in detail on average values in Microsoft Excel 2016 program, using variable cost method according to scope, the actual cost method according to the time of detection of the costs, using the transaction cost method according to the way it is detected. As a result of the study, it was determined that there was a positive relationship between the weight factor and the number of hospitalized days, and that obesity alone was an important cost-increasing factor for the types of direct expenses. It was determined that the highest costs due to obesity were in the laboratory, imaging and diagnosis and diagnosis expense groups, and the lowest level was in bed and companion expenses.

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