Abstract
Introduction:After the Medical Fee Table revision in 2012, surgical fees were increased. However, a large gap of surgical fees between specialties remained.
Methods:1,219 surgeries performed in our hospital in April through June 2012 were studied about operative procedures, anesthesia, surgical fees, time spent in the operation room, and the numbers of operating surgeons. "Doctor obligation time" was defined as the total time that each surgeon spent in the operation room. "Hourly point" was defined as the surgical fees obtained per hour by a surgeon.Results:The mean hourly point of all surgeries was 3,301, increased by 12% after the medical fee table revision in 2012. The largest hourly point was 12,403, obtained by ophthalmologists. The smallest hourly point was 1,529, obtained by musculoskeletal oncologists. The maximum disparity was 8.1 to 1.
Conclusion:The hourly point is connected directly to the profit of the clinical department, and also to the evaluation in the hospital. It should be at the same level in each specialty.
