Srpski arhiv za celokupno lekarstvo 2010 Volume 138, Issue 9-10, Pages: 624-631
https://doi.org/10.2298/SARH1010624M
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Descriptive analysis of work and trends in anaesthesiology from 2005 to 2006: Quantitative and qualitative aspects of effects and evaluation of anaesthesia
Majstorović Branislava M.
Simić Snežana
Milaković Branko D.
Vučović Dragan S.
Aleksić Valentina V.
Introduction. In anaesthesiology, economic aspects have been insufficiently
studied. Objective. The aim of this paper was the assessment of rational
choice of the anaesthesiological services based on the analysis of the scope,
distribution, trend and cost. Methods. The costs of anaesthesiological
services were counted based on “unit” prices from the Republic Health
Insurance Fund. Data were analysed by methods of descriptive statistics and
statistical significance was tested by Student’s t-test and χ2-test. Results.
The number of general anaesthesia was higher and average time of general
anaesthesia was shorter, without statistical significance (t-test, p=0.436)
during 2006 compared to the previous year. Local anaesthesia was
significantly higher (χ2-test, p=0.001) in relation to planned operation in
emergency surgery. The analysis of total anaesthesiological procedures
revealed that a number of procedures significantly increased in ENT and MFH
surgery, and ophthalmology, while some reduction was observed in general
surgery, orthopaedics and trauma surgery and cardiovascular surgery (χ2-test,
p=0.000). The number of analgesia was higher than other procedures (χ2-test,
p=0.000). The structure of the cost was 24% in neurosurgery, 16% in digestive
(general) surgery,14% in gynaecology and obstetrics,13% in cardiovascular
surgery and 9% in emergency room. Anaesthesiological services costs were the
highest in neurosurgery, due to the length anaesthesia, and digestive surgery
due to the total number of general anaesthesia performed. Conclusion. It is
important to implement pharmacoeconomic studies in all departments, and to
separate the anaesthesia services for emergency and planned operations.
Disproportions between the number of anaesthesia, surgery interventions and
the number of patients in surgical departments gives reason to design
relation database.
Keywords: anaesthesia, anaesthesiological procedures, scope, Trend
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