Comparison of the cost of global surgery and the cost of hoteling with real value and cost-benefit in Imam Reza Hospital Tabriz in 1396

Abstract

Introduction: The cost of drugs and global surgical supplies and hoteling costs are about 30% of hospital costs. It seems that paying insurance for these two cases is not economically feasible for government hospitals. So the present study was also conducted to examine this assumption

Objectives: Comparison of the cost of drugs and consumables in global surgeries with the payment of insurance organizations in Imam Reza Hospital of Tabriz and also the study of the amount of hoteling items used in shahid ghazi and Imam Reza Hospital of Tabriz in 1396.

Method: This retrospective and descriptive cross-sectional study was conducted in Imam Reza Hospital of Tabriz in 1996. The cost of global surgeries was reviewed on September in Imam Reza Hospital of Tabriz. In order to check the rationality of hoteling items, all sections of Imam Reza Hospital and Shahid Ghazi Hospital were enrolled.

Result: 518 cases of 28 operations were selected from 90 types of global surgery. The list of medications and supplies for each individual case was extracted and reviewed. Items included hoteling, as a sum of annual consumption, were normalized to the occupied bed per section, and based on 100 people. Then, the consumption values of each item are compared in different parts and it was judged on the rationality of consuming each item.

Conclusion: The insurers' contributions to the cost of global surgeries were lower than their actual cost at the center of the study, in the majority of surgical procedures. The requirements for supplies which used as hoteling require standardization for the bed in the hospital and the type of hospitalization.