[Significance of special reimbursement and case sums in visceral surgery]

From the new payment system of procedure (covering anesthesia and surgery with all personal and material costs) or case related payment (including all costs of operation and hospital stay, medical as well as room-and-care and administrative), in 1996 for all German hospitals obligatory introduced, 22 respectively 9 concern abdominal surgery. The calculation of the prizes, carried out nation wide in reference hospitals, with defined point numbers in the whole republic and different point values in singular countries, are very questionable in their economic value. Before the introduction of these reimbursement systems it is necessary to calculate the hospital specific costs, to analyze possible savings of resources through rationalization and to estimate prospectively the expected case numbers. In consequence increasing economic responsibility comes up to the surgeon.