You are great for game!

Invoices shadow, that represent the cost for attendance, begin airing Monday in the Costa del Sol.

The Andalusian Health Minister, Maria Jesus Montero, announced Tuesday that the "shadow bills", a project that is intended to inform all patients, but only for information, the cost of their passage through the services Andalusian public health is for all public funds, began officially broadcast next Monday 25th October at the company publishes Costa del Sol Hospital in Marbella (Malaga).

During his appearance at the, sto credits, end of the meeting of the Governing Council, Montero pointed out that this system will be introduced in stages to cover, "in late 2011, the entire hospital network and primary care, comprising 45 hospitals and over 1,500 health centers.

Despite the scale of this project, has secured at all times that the deployment of these bills, ffxiv gil, report "does not entail an additional cost" to the coffers of health, spoke of "minimum cost" or "zero cost", while the model differed other communities in the Andalusian bill will offer "the real price of each medical procedure, surgical or diagnostic, not an approximation or average cost of service."

Similarly, he pointed out that these bills, buy darkfall gold, shadow "in no case" be transferred to people with other types of insurance but who use public health systems, billing third parties such as mutual ", or people affected by accidents traffic, strangers or dead.

The owner of the field has justified this measure, framed by the policy of 'Open Government', the need to carry out "an exercise in transparency and accountability" in order for users to "know where their taxes are spent" .

In this line, has once again reiterate that the fact that services provided are free of charge it "is not" does not lead to the users an expense, "as it is financed through taxes." Thus, stressed that this system also tries to make a call to the "responsibility of all" in the use of health services.

As bills are calculated

As for calculators or computers of each invoice, has completed that it be conducted "in response to variables ranging from the costs directly attributable to medical procedures, such as personal or fungible material" through "indirect but necessary for sustaining the health care network, such as those relating to cleanliness, safety, management, cooking or additional diagnostic tests. "

Therefore, he pointed out that the same treatment "does not have to have the same cost center attributable to another." In fact, as an example, has detailed that the variability of the costs of outpatient surgery for cataracts "can range from 1,398 euros of Costal del Sol, to EUR 1,197 Macarena."

According to Montero, this variability "significant" addresses many issues ranging from "the number of procedures performed by a given institution, through staff available or the direct or indirect costs."

Comparison between centers and experience of a decade

In this regard, he expressed his conviction that this variability will allow progress in efficiency and service center, as well as in their comparative, although this has ensuredpoint that the instrument is not used as a form of pressure from public hospitals themselves by way of one who makes a lower cost to each care process.

"I do not understand that you always look at these issues in a negative keyword or economist", he lamented Montero to questions from reporters, who may have settled this controversy with the fact that this system cost computing "is used since a decade ago , hence this model is as robust and validated internationally. " In fact, said that "the only thing we do now is to communicate to the citizens."

Phased implementation

Given its "complexity", the implementation of the model is done in stages to complete the entire health system in late 2011 with the 40 most common procedures, thus covering 50 percent of health care activity. In fact, this gradual development is to assume that extra mile for professional or economic cost to hinder its implementation.

The documents began to be given to patients with surgery for hernias, gallbladder and cataract surgery performed through outpatient (accounting for 33% of the total performed in Andalucia by this procedure) and those who have been tested digestive diagnostic and cardiology.

Thus, in relation to the first center to implant the invoice information to reflect that cataract surgery in the Costa del Sol Hospital in Marbella is a cost of 1,399 euros, a hernia operation, 1,147 euros, and a of gallbladder, 1,470. As diagnostic tests, the cost of a gastroscopy at the hospital in Marbella is 64.92 euros, that of a colonoscopy, 202.13; that of a ergometry, 121.72, and 100.32 of echocardiography .

In this first pilot, is scheduled to be broadcast daily 60 documents, which were extended to other hospital services in a gradual and phased. After its development in Marbella, the project will continue in the hospitals of Pozoblanco (Cordoba), Jerez de la Frontera (Cadiz) and Antequera (Malaga).

Subsequently, the strategy will extend to patient benefits of oxygen therapy and dialysis orthoprosthesis, as well as primary care offices and pharmacies and orthopedics. The development of non-hospital this last application was held throughout 2011 and will consist in the communication at the end of the year for all activities required by the city in primary care, family physicians, pediatricians and community nursing, pharmaceutical cost plus indicating the total expenditure paid by the user and for the health system.

Finally, the report shall also include the invoice cost for incidents involving public health system as users will not submitted to consultation and surgical procedures without having canceled previously scheduled appointments.