隐形资产:量化意大利公共医院住院培训的隐藏经济价值
Francesco Brucchi1,2, Richard Sassun3,4, Annaclara Sileo3
1University of Milan, Via Festa del Perdono 7, Milan, 20122, Italy. francesco.brucchi@unimi.it.
Updates in surgery
|December 9, 2025
概括
将外部资助的住院医生整合到意大利公立医院中,可以大幅降低40-50%的人员成本. 这项研究表明,用住院医生取代主治医生可以大幅节省预算,并有助于灵活规划劳动力.
科学领域:
- 医疗保健经济学 医疗保健经济学
- 医疗劳动力管理医疗劳动力管理.
- 公共卫生政策 公共卫生政策
背景情况:
- 研究生医学教育 (GME) 计划对医疗保健系统至关重要,为临床服务提供医疗居民.
- 在意大利,居民补偿由外部资助,但其对公共医院预算的财务影响尚不清楚,特别是随着医疗保健成本的上升.
研究的目的:
- 量化将住院医生纳入意大利公共医院预算中的财务影响.
- 为了比较仅参加劳动力的成本与居民集成模型.
主要方法:
- 从医院的角度进行了为期12个月的确定性预算影响分析.
- 仅与居民整合的劳动力模型进行了比较,考虑了全部成本,居民生产力和监督.
- 蒙特卡洛模拟用于敏感性分析,以评估不确定性.
主要成果:
- 整合部资助的居民每年人事支出减少了40-50%.
- 取代40%的全日制同等课程 (FTEs) 导致平均节省24万欧元.
- 敏感性分析证实,在各种人员,监督和生产力场景中,节省成本是强大的.
结论:
- 外部资助的住院项目为意大利公立医院提供了显著的直接成本节省.
- 这些计划提高了劳动力的灵活性,并支持医疗保健的经济可持续性.
- 投资GME可以优化医疗保健资源,尽管需要进一步研究质量和稳定性.
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