[Accessible price lists at the anaesthesiologist's workplace enhance cost consciousness as a part of process and cost optimization].
The imminent introduction of the DRG (diagnosis-related-group) system is putting hospitals in Germany under considerable pressure. This requires that personnel are efficiently allocated by optimizing organizational procedures and that the limited resources be distributed in a cost-effective manner. One prerequisite for this is a marked cost-consciousness on the part of those who "incur costs" in providing a service. To increase the awareness of costs in clinical physicians, the cost structures must be transparent. In order to achieve this goal, a project was initiated at the Department of Anaesthesiology at the University Hospital of Heidelberg, which aimed to enhance the cost-consciousness of the staff by making price lists available to anaesthesiologists at the workplace. In addition to the price lists, the 25 most expensive medications and medical products were added as an ABC analysis. The departmental staff was interviewed by questionnaire as to whether this project was reasonable. After 1 year the interview was repeated. The results of the questionnaire showed that in the opinion of the staff, price lists are an effective tool, as cost-consciousness on the part of clinical physicians can be enhanced by making price structures transparent. This is a major prerequisite for individual motivation in the cost-effective management. Although the ABC analyses demonstrate no long-term effect of the price-transparency on the cost structures, the staff showed increased cost-consciousness and individual motivation for economic tasks.
Snyder-Ramos
S A
SA
Klinik für Anaesthesiologie, Universitätsklinikum Heidelberg. stephanie_snyder-ramos@med.uni-heidelberg.de
Bauer
M
M
Martin
E
E
Motsch
J
J
Böttiger
B W
BW
D000761:Anesthesia Department, Hospital / Q000191:economics* / Q000458:organization & administration*; D000776:Anesthesiology / Q000191:economics*; D000777:Anesthetics / Q000191:economics; D003363:Cost Control / Q000379:methods*; D003362:Cost-Benefit Analysis; D003953:Diagnosis-Related Groups; D016527:Drug Costs; D005858:Germany; D010820:Physicians; D011795:Surveys and Questionnaires
D000777:Anesthetics