Research Article
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Investigation of hospitalization costs in orthopedics and traumatology clinic

Year 2023, Volume: 4 Issue: 3, 145 - 149, 30.12.2023
https://doi.org/10.51753/flsrt.1342092

Abstract

The aim of the study was to analyze inpatient costs in the Orthopedics and Traumatology clinic of a public hospital. The hospitalizations in the Orthopedics and Traumatology clinic of the 525-bed AII group hospital in 2019, 2020 and 2021 were retrospectively evaluated. The study was planned as a cross-sectional descriptive study and data were obtained from the Hospital Management Information System. There were 27,330 inpatients in 2019, 18,604 in 2020 and 21,709 in 2021. The average number of days of hospitalization was 4.07 days in 2019, 2.99 days in 2020 and 2.34 days in 2021. The total annual inpatient cost of Orthopedics and Traumatology service was realized as 3,761,369.20 $ (21,326,963.36 TL) in 2019, 2,061,248.96 $ (14,428,742.72 TL) in 2020 and 1,231,753.09 $ (10,937,967.44 TL) in 2021. The average hospitalization cost of inpatients was 137.63 $ (780.36 TL) in 2019, 110.80 $ (775.60 TL) in 2020 and 56.71 $ (503.58 TL) in 2021. The decrease in total inpatient costs and average cost per patient over the years is a result of the Covid-19 pandemic. In calculating costs for cost control in hospitals, it is important to investigate the reasons for the change in costs over time as well as revealing the current situation. It is recommended to investigate the sources of changes in costs in future research.

References

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  • Buluc, F., & Agirbas, I. (2017). Hastanelerde maliyet analizi: kamu hastanesi örneği. SGD-Sosyal Güvenlik Dergisi, 7(2), 181-210.
  • Canbaz, M., Aydin, T., Taspinar, O., & Ersoy, M. (2015). Bir vakif üniversitesi tip fakültesi hastanesi fiziksel tip ve rehabilitasyon servisi’nin maliyet yapisi ve analizi. The Journal of Financial Research and Studies, 7(12), 65-92.
  • Chiba, T., Takaku, R., Ito, E., Tamune, H., Rivera, M., Ikeda, S., & Shiga, T. (2023). Are hospitals with both medical/surgical and psychiatric services associated with decreased difficulty in ambulance transfer for patients with self-harm behaviour? A nationwide retrospective observational study using ambulance transfer data in Japan. BMJ open, 13(2), e065466.
  • Cinquini, L., Miolo Vitali, P., Pitzalis, A., & Campanale, C. (2009). Process view and cost management of a new surgery technique in hospital. Business Process Management Journal, 15(6), 895-919.
  • Carikci, O., & Acar, D. (2017) A research into cost management approaches of hospital administrators and views concerning factors affecting hospital costs. Hacettepe Saglik İdaresi Dergisi, 20(3), 275-298.
  • Dirvar, F., Dirvar, S. U., Yildirim, T., Cengiz, O., & Talmac, M. A. (2020). Cost analysis in knee revision arthroplasty: A study at the research and training hospital in Turkey. JAREM. Journal of Academic Research in Medicine, 10(2), 133.
  • Dogan, I. (2022). Hastanelerde birim maliyet analizi: bir egitim arastirma hastanesinde uygulama, Yüksek Lisans Tezi, (pp. 1-763). Ankara Universitesi Saglik Bilimleri Enstitusu, Ankara.
  • Elif, A., Onder, N. T., Kayali, S., Keskin, Z., & Yigit, O. (2015). Cost analysis per patient in state hospitals according to departments (an example based on Istanbul education and research hospital). Healthcare | An Open Access Journal, 2, 40-52.
  • Esatoglu, A. E, Agirbas, I, Payziner, P. D, Akbulut, Y, Goktas, B, Ozatkan, Y, ... & Okten, I. (2010). Ankara Üniversitesi Tıp Fakültesi Hastaneleri'nde maaliyet analizi. Ankara Universitesi Tip Fakultesi Mecmuasi, 63(1), 17-27.
  • Genc, B. N. (2020). Critical management of COVID-19 pandemic in Turkey. Frontiers in Life Sciences and Related Technologies, 1(2), 69-73.
  • Hussey, P. S., De Vries, H., Romley, J., Wang, M. C., Chen, S. S., Shekelle, P. G., & McGlynn, E. A. (2009). A systematic review of health care efficiency measures. Health Services Research, 44(3), 784-805.
  • Karasioglu, F., & Cam, A. V. (2008). Saglik isletmelerinde maliyet analizi: karaman devlet hastanesinde birim muayene maliyetlerinin hesaplanmasi. Nigde Universitesi İktisadi ve İdari Bilimler Fakultesi Dergisi, 1(1), 15-24.
  • Kizilcec, M. (2012) Cerrahpasa Tip Fakultesi Hastanesinde yatan hasta maliyetlerinin belirlenmesi, Yüksek Lisans Tezi, (pp. 1-65). Cerrahpasa Universitesi Saglik Bilimleri Enstitusu, Istanbul.
  • Kisakurek, M. M. (2010). Hastane işletmelerinde bölüm maliyet analizi: Cumhuriyet Üniversitesi Tıp Fakültesi Hastanesinde bir uygulama. Atatürk Üniversitesi İktisadi ve İdari Bilimler Dergisi, 24(3), 229-256.
  • Ministry of Health, (2009). Sağlık Bakanlığı Tedavi Hizmetleri Genel Müdürlüğü, Hastane Rolleri, https:dosyamerkez.saglik.gov.tr/Eklenti/ 40424/0/hastane-rolleri-1pdf.pdf, Last accessed on September 25, 2023.
  • Mut, S., & Agirbas, I. (2017). Hastanelerde maliyet analizi: Ankara’da hizmet sunan ikinci basamak bir Kamu Hastanesi’nde uygulama. Mehmet Akif Ersoy Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 9(18), 202-217.
  • Otlu, F, & Karaca, S. (2005). Maliyet yonetimi ve yasam seyri maliyet analizi, Suleyman Demirel Universitesi Iktisadi ve Idari Bilimler Fakultesi Dergisi, 10(2), 245-270.
  • Ozkan, O., Kutlu, G., Aydin, J. C., Aydemir, I., & Agirbas, I. (2014). Hastanelerde maliyet analizi ve ornek bir uygulama. 8. Ulusal Saglik ve Hastane İdaresi Kongresi, Girne, K.K.T.C.
  • Ozkan, O., & Agirbas, I. (2015). Hastane poliklinik birim maliyet analizi ve ornek bir uygulama, Hitit Universitesi Sosyal Bilimler Enstitusu Dergisi, 8(2), 705-714.
  • Palteki, T. (2019). Bir kamu hastanesinde maliyet analizi çalişmasi. Journal of Healthcare Management and Leadership, (1), 1-15.
  • Sadyrbaeva, A., & Chekirov, K. (2022). Epidemiological analysis of the diagnostic results of COVİD-19 infection in Bishkek by real-time PCR method. Frontiers in Life Sciences and Related Technologies, 3(1), 21-24.
  • Sonsuz, A. A. (2011). Hastane isletmelerinde birim maliyetlerin analizi: bir ozel hastane ornegi, Yüksek Lisans Tezi, (pp. 1-148). Ankara Universitesi Saglik Bilimleri Enstitusu, Ankara.
  • Soylular, B., & Agirbas, I. (2016). Hastanelerde maliyet analizi ve ikinci basamak bir hastanede birim maliyet hesaplanmasi. Gülhane Tıp Dergisi, 58, 266-271.
  • Top, M., & Aslan, H. (2017). Arthroscopic slap repair transaction costs, invoice amounts, and cost analyses based on diagnosis-related groups. Verimlilik Dergisi, 3(3), 167-232.
  • Williams, E. E., Katz, J. N., Leifer, V. P., Collins, J. E., Neogi, T., Suter, L. G., ... & Losina, E. (2022). Cost‐Effectiveness of Arthroscopic Partial Meniscectomy and Physical Therapy for Degenerative Meniscal Tear. ACR Open Rheumatology, 4(10), 853-862.
  • Yilmaz, E. (2018). Hastanelerde birim maliyet analizi: Bilecik Devlet Hastanesi’nde bir uygulama, Yüksek Lisans Tezi, (pp. 1-398). Ankara Universitesi Saglik Bilimleri Enstitusu, Ankara.
  • Yigit, C, Peker, S, Cankul, İ, Kostik, Z, Alkan, M, Ozer, M., ... & Akdeniz, A. (2003). GATA Egitim Hastanesinde yatan hasta maliyetinin belirlenmesi. Gulhane Tip Dergisi, 45(3), 233-243.
Year 2023, Volume: 4 Issue: 3, 145 - 149, 30.12.2023
https://doi.org/10.51753/flsrt.1342092

Abstract

References

  • Azzolina, D., Comoretto, R., Lanera, C., Berchialla, P., Baldi, I., & Gregori, D. (2022). COVID-19 hospitalizations and patients' age at admission: The neglected importance of data variability for containment policies. Frontiers in Public Health, 10, 1002232.
  • Berk, E., & Cercioglu, H. (2019). The productive efficiency of the Turkish health care sector based on provincial panel data. Journal of the Faculty of Engineering and Architecture of Gazi University, 34(2), 929-943.
  • Bilen, F. E. (2016). Rotator manset yirtiklarinda dogal seyir. In: Ozbaydar, M. U. (ed) Omuz ve Dirsek Artroplastileri 2016, Dogan Tip Kitabevi, Antalya.
  • Buluc, F., & Agirbas, I. (2017). Hastanelerde maliyet analizi: kamu hastanesi örneği. SGD-Sosyal Güvenlik Dergisi, 7(2), 181-210.
  • Canbaz, M., Aydin, T., Taspinar, O., & Ersoy, M. (2015). Bir vakif üniversitesi tip fakültesi hastanesi fiziksel tip ve rehabilitasyon servisi’nin maliyet yapisi ve analizi. The Journal of Financial Research and Studies, 7(12), 65-92.
  • Chiba, T., Takaku, R., Ito, E., Tamune, H., Rivera, M., Ikeda, S., & Shiga, T. (2023). Are hospitals with both medical/surgical and psychiatric services associated with decreased difficulty in ambulance transfer for patients with self-harm behaviour? A nationwide retrospective observational study using ambulance transfer data in Japan. BMJ open, 13(2), e065466.
  • Cinquini, L., Miolo Vitali, P., Pitzalis, A., & Campanale, C. (2009). Process view and cost management of a new surgery technique in hospital. Business Process Management Journal, 15(6), 895-919.
  • Carikci, O., & Acar, D. (2017) A research into cost management approaches of hospital administrators and views concerning factors affecting hospital costs. Hacettepe Saglik İdaresi Dergisi, 20(3), 275-298.
  • Dirvar, F., Dirvar, S. U., Yildirim, T., Cengiz, O., & Talmac, M. A. (2020). Cost analysis in knee revision arthroplasty: A study at the research and training hospital in Turkey. JAREM. Journal of Academic Research in Medicine, 10(2), 133.
  • Dogan, I. (2022). Hastanelerde birim maliyet analizi: bir egitim arastirma hastanesinde uygulama, Yüksek Lisans Tezi, (pp. 1-763). Ankara Universitesi Saglik Bilimleri Enstitusu, Ankara.
  • Elif, A., Onder, N. T., Kayali, S., Keskin, Z., & Yigit, O. (2015). Cost analysis per patient in state hospitals according to departments (an example based on Istanbul education and research hospital). Healthcare | An Open Access Journal, 2, 40-52.
  • Esatoglu, A. E, Agirbas, I, Payziner, P. D, Akbulut, Y, Goktas, B, Ozatkan, Y, ... & Okten, I. (2010). Ankara Üniversitesi Tıp Fakültesi Hastaneleri'nde maaliyet analizi. Ankara Universitesi Tip Fakultesi Mecmuasi, 63(1), 17-27.
  • Genc, B. N. (2020). Critical management of COVID-19 pandemic in Turkey. Frontiers in Life Sciences and Related Technologies, 1(2), 69-73.
  • Hussey, P. S., De Vries, H., Romley, J., Wang, M. C., Chen, S. S., Shekelle, P. G., & McGlynn, E. A. (2009). A systematic review of health care efficiency measures. Health Services Research, 44(3), 784-805.
  • Karasioglu, F., & Cam, A. V. (2008). Saglik isletmelerinde maliyet analizi: karaman devlet hastanesinde birim muayene maliyetlerinin hesaplanmasi. Nigde Universitesi İktisadi ve İdari Bilimler Fakultesi Dergisi, 1(1), 15-24.
  • Kizilcec, M. (2012) Cerrahpasa Tip Fakultesi Hastanesinde yatan hasta maliyetlerinin belirlenmesi, Yüksek Lisans Tezi, (pp. 1-65). Cerrahpasa Universitesi Saglik Bilimleri Enstitusu, Istanbul.
  • Kisakurek, M. M. (2010). Hastane işletmelerinde bölüm maliyet analizi: Cumhuriyet Üniversitesi Tıp Fakültesi Hastanesinde bir uygulama. Atatürk Üniversitesi İktisadi ve İdari Bilimler Dergisi, 24(3), 229-256.
  • Ministry of Health, (2009). Sağlık Bakanlığı Tedavi Hizmetleri Genel Müdürlüğü, Hastane Rolleri, https:dosyamerkez.saglik.gov.tr/Eklenti/ 40424/0/hastane-rolleri-1pdf.pdf, Last accessed on September 25, 2023.
  • Mut, S., & Agirbas, I. (2017). Hastanelerde maliyet analizi: Ankara’da hizmet sunan ikinci basamak bir Kamu Hastanesi’nde uygulama. Mehmet Akif Ersoy Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 9(18), 202-217.
  • Otlu, F, & Karaca, S. (2005). Maliyet yonetimi ve yasam seyri maliyet analizi, Suleyman Demirel Universitesi Iktisadi ve Idari Bilimler Fakultesi Dergisi, 10(2), 245-270.
  • Ozkan, O., Kutlu, G., Aydin, J. C., Aydemir, I., & Agirbas, I. (2014). Hastanelerde maliyet analizi ve ornek bir uygulama. 8. Ulusal Saglik ve Hastane İdaresi Kongresi, Girne, K.K.T.C.
  • Ozkan, O., & Agirbas, I. (2015). Hastane poliklinik birim maliyet analizi ve ornek bir uygulama, Hitit Universitesi Sosyal Bilimler Enstitusu Dergisi, 8(2), 705-714.
  • Palteki, T. (2019). Bir kamu hastanesinde maliyet analizi çalişmasi. Journal of Healthcare Management and Leadership, (1), 1-15.
  • Sadyrbaeva, A., & Chekirov, K. (2022). Epidemiological analysis of the diagnostic results of COVİD-19 infection in Bishkek by real-time PCR method. Frontiers in Life Sciences and Related Technologies, 3(1), 21-24.
  • Sonsuz, A. A. (2011). Hastane isletmelerinde birim maliyetlerin analizi: bir ozel hastane ornegi, Yüksek Lisans Tezi, (pp. 1-148). Ankara Universitesi Saglik Bilimleri Enstitusu, Ankara.
  • Soylular, B., & Agirbas, I. (2016). Hastanelerde maliyet analizi ve ikinci basamak bir hastanede birim maliyet hesaplanmasi. Gülhane Tıp Dergisi, 58, 266-271.
  • Top, M., & Aslan, H. (2017). Arthroscopic slap repair transaction costs, invoice amounts, and cost analyses based on diagnosis-related groups. Verimlilik Dergisi, 3(3), 167-232.
  • Williams, E. E., Katz, J. N., Leifer, V. P., Collins, J. E., Neogi, T., Suter, L. G., ... & Losina, E. (2022). Cost‐Effectiveness of Arthroscopic Partial Meniscectomy and Physical Therapy for Degenerative Meniscal Tear. ACR Open Rheumatology, 4(10), 853-862.
  • Yilmaz, E. (2018). Hastanelerde birim maliyet analizi: Bilecik Devlet Hastanesi’nde bir uygulama, Yüksek Lisans Tezi, (pp. 1-398). Ankara Universitesi Saglik Bilimleri Enstitusu, Ankara.
  • Yigit, C, Peker, S, Cankul, İ, Kostik, Z, Alkan, M, Ozer, M., ... & Akdeniz, A. (2003). GATA Egitim Hastanesinde yatan hasta maliyetinin belirlenmesi. Gulhane Tip Dergisi, 45(3), 233-243.
There are 30 citations in total.

Details

Primary Language English
Subjects Surgery (Other)
Journal Section Research Articles
Authors

Nazife Öztürk 0000-0001-7552-5723

Ferda Işıkçelik 0000-0002-7975-4141

Mehmet Akif Akçal 0000-0002-3851-4256

Publication Date December 30, 2023
Submission Date August 12, 2023
Published in Issue Year 2023 Volume: 4 Issue: 3

Cite

APA Öztürk, N., Işıkçelik, F., & Akçal, M. A. (2023). Investigation of hospitalization costs in orthopedics and traumatology clinic. Frontiers in Life Sciences and Related Technologies, 4(3), 145-149. https://doi.org/10.51753/flsrt.1342092

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