Management Performance and Medical Resource Productivity of Anesthesia and Surgery

Abstract

Given the tight insurance finances associated with Japanese medical care, ongoing improvements in medical productivity are needed. Physicians and patients will be encouraged to make medical decisions with cost-effectiveness in mind. When discussing productivity within the disciplines of anesthesia and surgery, it is essential to separate technological productivity from organizational productivity. The medical economics of anesthesia and surgery are discussed as “Clinical practice productivity（Performance：cost-efficacy of such as surgery or drug therapy）× Organizational management productivity（Volume：Market factors like number of cases and operating rate）= Economic impact（Socioeconomic significance）.” The former contributes to the medical fee system, and the latter relates to hospital management strategies. Future medical system reforms should consider the balance between both elements.