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Indian Journal of Public Health Research & Development
Year : 2019, Volume : 10, Issue : 10
First page : ( 533) Last page : ( 537)
Print ISSN : 0976-0245. Online ISSN : 0976-5506.
Article DOI : 10.5958/0976-5506.2019.02864.X

Cost Analysis of Intra Operative Anaesthesia Services in Tertiary Care Hospital

Venkatesh C. Lakshmi1, Aileen J.2, Narendranath V3

1Post-graduate Student, Department of Hospital Administration, Ramaiah University of Applied Sciences, Gnanagangothri Campus

2Assistant Professor, Department of Hospital Administration, Ramaiah University of Applied Sciences, Gnanagangothri Campus

3Chief Hospital Administrator, Ramaiah Medical College Hospital, New BEL Road, MSR Nagar, Banglore

Online published on 23 December, 2019.

Abstract

Anaesthesia services was gradually skyed high mainly because of patient population, with the increasing patient population, severe financial burden associate with care accelerate throughout the universe. At present, hospitals will provide many services under single shelf. Large service organization will consider the high number of personnel which comprises of capital intensive nature of business. Various complexities will be necessitating for hospital management which will include robust costing system. This paper investigates and compares the how much cost incurred for twelve combinations of sevenanaesthetic agents in intra operative services at Tertiary care Hospital. So the study consider and compare the twelvecombinations of sevenanaesthesticdrugs (Propofol, Thiopentone, Isoflurane, Sevoflurane, Vecuronium, Atracurium, Cis-atracurium) which Anaesthesiologists usually prefer, From the study we found that hospital can save the 91.2% of Propofol yearly expenditure by replace with Thiopentone as an induction agent. At same consumption rate hospital can exclude the 77% of yearly expenditure of Sevoflurane with replacing the Isoflurane for intra-operative maintenance. Hospital can cut down the 63% of cis-atracurium yearly expenditure by replacing the relaxant Vecuronium. The study concluded that Thiopentone, plus Vecuronium plus Isoflurane highly preferred combination by Anaesthesiologists among all eleven combinations. This was mainly due to the fact that these combinations costs were very lower compared to other drugs and these combinations influenced the patients to recover from the surgery at very fast which in turn decrement the discharge time availed by the patients which sky-high hospitals to take care more number of patients at hospitals. Hence the hospitals can maintain efficiency at intra operative services, and the cost of drugs included in total surgery cost of patients. In addition to the overhead information assist the top management while making a strategic plan and decision-making activities while preferring drugs. As a result Changes in combination of drugs affect the entire process of intra operative services at Tertiary care hospitals can be precisely revealed.

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Keywords

Cost analysis, Cost effective analysis, Anesthesia services, Intraoperative anaesthesia costing, Intraoperative anaesthetic agents.

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