Avtor/Urednik		Bohinc, Franc
Naslov		Obračun stroškov na bolnika v Kliničnem centru
Prevedeni naslov		Costs accounting for patients
Tip		članek
Vir		In: Spremembe v sistemu zdravstvenega varstva. 11. strokovno srečanje ekonomistov in poslovodnih delavcev v zdravstvu; 2004 apr 22-23; Maribor. Ljubljana: Društvo ekonomistov v zdravstvu,
Leto izdaje		2004
Obseg		str. 29-40
Jezik		slo
Abstrakt		The implementation of changes in the hospitals financing system is gradual, however, it is expected that bigger changes will take place this year. With this, the transition period when payment was based on the number of hospitatised days is ending. In the future the payment will be based on the number of treated patients and on the average cost of a patient. In a relatively short period of time, two extreme methods of payment for the hospitalized patients were used. The payment based on the number ofpatients showed that hospitals were adapting to the changes and that stimulating elements built into the financing system lead to the changes in behaviour. Implementation of the diagnostic groups system, or as we call it the system of groups of comparable cases (SPP), is a modern solution, which opens the door to economic evaluation of work load for hospitalized patients. It is therefore quite realistic to expect that the rnanagement of hospitals will include beside expert criteria also economic parameters for decision-making. The change of financing requires appropriate adjustment of the hospital costs monitoring system, calculation of hospital expenses for the patient and after that analysing of average trearment costs for one diagnostical group. It is important that such solutions are adopted which would enable accounting of hospital expenses for a patient on the basis of real treatment costs. In that way objective data for assessment of the management will be provided as well as the database for the system revision. Occasional revisions of the system are the only way to provide the conditions for permanent use of the system and for objective financing of hospitals.
Deskriptorji		DIAGNOSIS-RELATED GROUPS HOSPITALIZATION HEALTH CARE COSTS HOSPITAL COSTS