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Disease cost in a surgical ward.

D R Harper

    British Medical Journal
    |March 10, 1979
    PubMed
    Summary

    Calculating patient care costs in surgical wards reveals that disease and length of stay significantly impact expenses. Resource-based cost accounting is recommended for effective clinical resource management.

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    Area of Science:

    • Healthcare Management
    • Surgical Ward Operations
    • Cost Accounting in Medicine

    Background:

    • Accurate patient cost data is crucial for resource allocation in healthcare settings.
    • General surgical wards manage diverse patient populations with varying care needs.
    • Traditional cash cost accounting may not fully reflect resource utilization.

    Purpose of the Study:

    • To determine the cost of caring for individual patients in a general surgical ward.
    • To identify factors influencing patient costs, such as disease and length of stay.
    • To evaluate the suitability of different cost accounting systems for clinical use.

    Main Methods:

    • Collected individual patient cost data over a six-month period in a general surgical ward.
    • Calculated per-patient costs for various diseases.
    • Analyzed the relationship between cost, duration of stay, and postoperative morbidity.

    Main Results:

    • Patient care costs varied significantly across different diseases.
    • The duration of a patient's hospital stay was a key determinant of cost.
    • Postoperative morbidity was identified as an important factor influencing overall patient cost.

    Conclusions:

    • Resource-based unit systems are more suitable for clinicians monitoring resource use than cash cost accounting.
    • Understanding cost drivers like disease and length of stay is essential for surgical ward management.
    • Effective cost management requires a system that accurately reflects resource consumption.

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