Eine neue zentralisierte und gestraffte Arbeitsstruktur macht die Chirurgie effizienter. Die steigende Bedeutung der ambulanten und Kurzzeitchirurgie für eine wirtschaftliche Chirurgie bei fallenden Kosten

Abstract

During the 1990s one strategy at the Department of Surgery, University Hospital, Lund, has been organize elective and acute surgical care in separate units. Short-stay surgery and speciality surgery have been planned in the same way. The merger between the Lund department and the Department of Surgery at the nearby district hospital of Landskrona on January 1, 1996, made it possible to fully carry through this strategy. He we report the prosperous effects of this new organization as they come out in efficiency, cost-effectiveness and quality of care, during the period 1996±1997 compared with 1995, the year before the re-organization.

Ring fencing of elective surgery: does it affect hospital efficiency?

“…This study from the Lund University Hospital in Sweden indicates a substantial increase in both the hospital's efficiency and quality of care as a result of the introduction of an RF unit in the surgical department. 16 In line with the arguments above, one can hypothesize that the efficiency in an RF unit may be higher than that in ordinary surgical departments. The critical question, however, is not whether the efficiency in an RF unit may be higher than in ordinary surgical departments, but whether the introduction of an RF unit affects the total efficiency in the surgical division and the efficiency of the hospital in general.…”

“…One study, written in German was found. This study from Lund University Hospital indicates a substantial increase in both the hospital's efficiency and quality of care as a result of the introduction of an RF unit in the surgical department (Hedenbro et al 2000).…”