THE SIGNIFICANCE OF PROCEDURE OR CASE REL ATED PAYMENT SYSTEMS IN ABDOMINAL-SURGERY

From the new payment system of procedure (covering anesthesia and surg ery with all personal and material costs) or case related payment (inc luding all costs of operation and hospital stay, medical as well as ro om-and-care and administrative), in 1996 for all German hospitals obli gatory introduced, 22 respectively 9 concern abdominal surgery, The ca lculation of the prizes, carried out nation wide in reference hospital s, with defined point numbers in the whole republic and different poin t values in singular countries, are very questionable in their economi c value, Before the introduction of these reimbursement systems it is necessary to calculate the hospital specific costs, to analyze possibl e savings of resources through rationalization and to estimate prospec tively the expected case numbers, In consequence increasing economic r esponsibility comes up to the surgeon.