HASTANELERDE AYAKTAN VAKA BAŞI ÖDEME MODELİ: POLİKLİNİK MALİYETLERİ İLE GERİ ÖDEME FİYATLARININ KARŞILAŞTIRILMASI
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Dosyalar
Tarih
2016-12
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Namık Kemal Üniversitesi,İktisadi ve İdari Bilimler Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Günümüzde sağlık hizmeti fiyatlarının maliyete göre tespit edilmemesi hastanelerin finansal sürdürülebilirliğini etkilemektedir. Türkiye’de yaklaşık dokuz yıldır poliklinik vaka başı ücretlerinde anlamlı bir artış sağlanmamıştır. Ancak hastanenin işçilik, ilk madde ve malzeme ve işletme maliyetleri her yıl artmaktadır. Bu araştırmanın amacı, bir üniversite hastanesinin ayaktan vaka başı muayene maliyetleri ile geri ödeme fiyatlarını karşılaştırmaktır. Araştırma soncunda hastanenin ayaktan vaka başı toplam geliri 1.753.953-TL gider ise 2.156.439-TL olarak tespit edilmiştir. Sosyal Güvenlik Kurumu (SGK) bir hasta için ortalama 66.3-TL geri ödemede bulunmaktadır. Ancak hastanenin bir poliklinik hastasının maliyeti 81.6-TL olarak gerçekleşmektedir. Bu nedenle ayaktan vaka başı fiyatlarının gelecek dönemlerde asgari yaklaşık % 15 artırılması gerektiği düşünülmektedir.
Today, the fact that the prices of health care services are not determined according to the financial situation affects the financial sustainability of the hospitals. In Turkey, there has not been a significant increase in tpatient wages for approximately nine years. However, the hospital's labor, material and operating costs are increasing every year. The purpose of this study is to compare the remuneration costs of a university hospital with inpatient examinations. At the end of the research, the total income of the hospital from the inpatient was 1.753.953-TL and inpatient costs was determined as 2.156.439-TL. Social Security Institution (SSI) has an average repayment of 66.3-TL for one patient. However, the cost of a polyclinic patient of the hospital is 81.6-TL. For this reason, it is thought that the per-incident price should be increased by at least about 15% in future periods.
Today, the fact that the prices of health care services are not determined according to the financial situation affects the financial sustainability of the hospitals. In Turkey, there has not been a significant increase in tpatient wages for approximately nine years. However, the hospital's labor, material and operating costs are increasing every year. The purpose of this study is to compare the remuneration costs of a university hospital with inpatient examinations. At the end of the research, the total income of the hospital from the inpatient was 1.753.953-TL and inpatient costs was determined as 2.156.439-TL. Social Security Institution (SSI) has an average repayment of 66.3-TL for one patient. However, the cost of a polyclinic patient of the hospital is 81.6-TL. For this reason, it is thought that the per-incident price should be increased by at least about 15% in future periods.
Açıklama
International Congress of Management Economy And Policy, 26-27 Kasım 2016, İstanbul
Anahtar Kelimeler
Vaka başı ödeme, geri ödeme, maliyet, hastane, Pay per case, reimbursement, cost, hospital
Kaynak
Balkan Sosyal Bilimler Dergisi
