Pediatric surgical workload during the past decade : Impact on clinical activity and Hospital finance at a Children's Hospital. Discussion. Authors'reply.
Annual Meeting of the American Pediatric Surgical Association. Hilton Head, SC, USA, 1998/05/10.
The authors hypothesized that there are significant differences in clinical effort among the faculty of the various departments at an academic Children's Hospital, and that the clinical workload of surgeons has increased over the past decade.
A retrospective analysis of clinical practice and financial performance of the five departments (anesthesiology/critical care medicine, pathology, pediatrics, radiology, and surgery) at the Children's Hospital of Philadelphia from 1987 to 1997 was performed including clinical activity parameters (admissions, discharges, clinic visits), departmental faculty rosters, number of operations for the department of surgery as a whole and for individual surgeons in each pediatric surgical specialty, and professional and hospital financial data.
Pediatric surgical specialists represented 15% of the total full-time physicians throughout the decade.
In 1997, surgeons were responsible for 29% of hospital admissions, 28% of total outpatient visits at all clinical care sites, 37% of total professional fee revenue, 39% of hospital-based revenue, and a substantial portion of the hospital margin.
Compared with 1987, the department of surgery in 1997 had a 60% increase in outpatient visits and a 58% increase in total operative case load (10,265 to 16,266). (...)
Mots-clés Pascal : Gestion, Soin intégré, Chirurgie, Economie, Responsabilité professionnelle, Chirurgien, Hôpital, Enfant, Homme
Mots-clés Pascal anglais : Management, Managed care, Surgery, Economy, Occupational responsibility, Surgeon, Hospital, Child, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0191963
Code Inist : 002B30A04B. Création : 16/11/1999.