Unit:
Κατεύθυνση Οργάνωση και Διοίκηση Υπηρεσιών ΥγείαςLibrary of the School of Health Sciences
Author:
Christoforidou Antonia
Supervisors info:
Γρηγόριος Χονδροκούκης, Καθηγητής, Τμήμα Βιομηχανικής Διοίκησης και Τεχνολογίας, ΠΑΠΕΙ
Δημήτριος Καραλέκας, Καθηγητής, Τμήμα Βιομηχανικής Διοίκησης και Τεχνολογίας, ΠΑΠΕΙ
Ιωάννης Γιαννατσής, Επίκουρος Καθηγητής, Τμήμα Βιομηχανικής Διοίκησης και Τεχνολογίας, ΠΑΠΕΙ
Original Title:
Το κόστος των υπηρεσιών φροντίδας υγείας στη μονάδα πρόωρων νεογνών
Translated title:
The cost of health care services in neonatal intensive care unit
Summary:
Purpose: In this work we’re trying to record the actual, real cost of health care services in a Neonatal Intensive Care Unit (N.I.C.U.) of a public hospital. It is well known that, in recent years, the hospitals have been reimbursed with the system of Diagnosis-Related Groups (D.R.G.). The purpose of this study is to determine if the costs according with D.R.Gs, are being corresponds to the actual-real cost, as this is recorded in the N.I.C.U .. This cost is called direct cost.
Methodology: It is reported a case study of a premature neonate in the intensive care unit (N.I.C.U.). From the outset, are defined the age of pregnancy, the birth weight, and the duration of hospitalization in N.I.C.U., the needs of the newborn in oxygen, medication, nutrition, which are very important in shaping the cost. Then, the cost is calculated according to the D.R.Gs system. By setting three basic diagnoses (I.C.D. -10), we find that D.R.G. which better describes the case, as well as the associated costs. Then, we calculate the direct cost and list all the consumables, exams, staffing’s cost, overheads.
Results: Comparing the two results we find that the cost of D.R.G. does not meet the direct cost of hospitalization. There is a significant deviation from the actual real cost, which proves the under-costing of the health services.
Conclusions: The D.R.G. system leads hospitals to increase their financial deficits and provide degraded quality health services. It is necessary the readjustment of D.R.Gs according to the reality and the redefinition of the hospital’s reimbursement system in order to meet the direct - real cost of the health services offered.
Main subject category:
Health Sciences
Keywords:
Neonatal intensive care unit, Cost, Health services, Premature newborn, Diagnosis-related groups
File:
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Christoforidou Antonia Master.pdf
2 MB
File access is restricted only to the intranet of UoA.
