Abdülkadir TEKE, Necmettin CİHANGİROĞLU

Sağlık harcamalarını azaltmak için hekimlerin gereksiz kaynak kullanımları nasıl kontrol edilebilir?

Sınırlı finansal kaynaklar ve artan sağlık hizmetleri maliyetleri, ülkeleri bu maliyetleri düşürme ve sağlık hizmetleri kalitesini artırma yönünde farklı yaklaşımlar uygulamaya zorlamaktadır. Hekimlerin uygulamalarındaki farklılıklar, hizmetlerin kalite ve maliyetine etki etmektedir. Sağlık hizmetlerinde hekimlerin oynadığı rolden dolayı hastane yöneticileri, onların uygulamalarına ilişkin bazı kontrol mekanizmaları geliştirmelidirler. Bu yüzden çoğu ülke, farklı stratejiler uygulayarak gereksiz sağlık hizmeti kullanımını kontrol altına almaya çalışmaktadırlar. Gereksiz kullanımın en çok görüldüğü alanlar; hastaneye yatış, hasta günü, acile başvurular, laboratuar testleri ve ilaçların reçetelenmesidir.

How to control physicians’overutilization of resources to reducethe health services costs?

The increasing cost of health services and the limited financial resources available force countries to find approaches to reduce cost and to improve the quality of health services. Variations in physicians practice patterns have important implications for quality and cost. Because of their central role in health care, the hospital administrators should establish some control systems that can modify the current application models of physicians. Therefore, many countries are trying to control overutilization through different strategies. Common areas of overutilization include hospitalization, hospital inpatient days, emergency center visits, diagnostic laboratory and radiology tests, and prescription drugs.

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