[Anesthesiology and economics].
The reform of government financing of health services has caused a lot of significant changes in hospitals. The main points of the reform are limited hospital expenses, and reduced financial calculation. The following three factors are influencing upon hospital expenses is the only factor that hospital management can effectively influence upon. Therefore, management and running of financial services are the most responsible and significant for hospital prosperity. The most convenient and prospective way of payment restriction is expenses accounting according to the case of treatment. Furthermore, general expenses should be reduced too. However, economic evaluation should include the analysis of alternative therapeutic possibilities in the framework of expenses, and the outcome of treatment. Following all these, it has been shown how it is possible to reduce the expenses at the Department of Anesthesiology. There are potential factors of savings such as low-flow anesthesia, ABC-analysis of expenses etc. Other ones are staff expenses, that include improvement of working process and adaptable time-table. Pharmaco-economical evaluation of the new drugs has shown how analysis of expenses structure could be acceptable in the scope of anesthesiology. Because of the permanent deficit of financial resources, permanent decentralized control is indispensable.
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Zavod za anesteziologiju i intenzivno lijecenje, Opća bolnica Sveti Duh, Sveti Duh 64, 10 000 Zagreb.
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D000758:Anesthesia / Q000191:economics*; D000761:Anesthesia Department, Hospital / Q000191:economics* / Q000458:organization & administration; D017046:Cost Savings; D003365:Costs and Cost Analysis; D017523:Croatia; D006801:Humans