How much labor is in a labor epidural? Manpower cost and reimbursement for an obstetric analgesia service in a teaching institution

Anesthesiology

Volumn 92, Issue 3, 2000, Pages 851-858

  Bell, Elizabeth D ^a   Penning, Donald H ^b   Cousineau, Edward F ^b   White, William D ^b   Hartle, Andrew J ^b   Gilbert, William C ^b   Lubarsky, David A ^b  

^a DUKE UNIVERSITY MEDICAL CENTER   (United States)

^b NONE

Author keywords

Delivery; Economics; Pain; Parturient; Payers; Pregnancy; Workload

Indexed keywords

ANESTHESIST; ARTICLE; EPIDURAL ANESTHESIA; HEALTH CARE COST; HOSPITAL PERSONNEL; MANPOWER; MEDICAID; OBSTETRIC ANALGESIA; PRIORITY JOURNAL; REIMBURSEMENT; TEACHING HOSPITAL;

EID: 0034010613     PISSN: 00033022     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000542-200003000-00029     Document Type: Article

References (18)

1. Chestnut DH: Preface, Obstetric Anesthesia: Principles and Practice, 2nd Ed. Edited by Chestnut DH. St. Louis, Mosby, 1999, xiii-iv
2. Owens W: Members say low reimbursement for epidurals root of problem. Am Soc Anesth President's Update 1998; 2:1-2
3. Gilbreth FB: Motion study in surgery. Can J Med Surg 1916; 40:22-31
4. Gilbreth L, Kuehn R: Management engineering and nursing. Am J Nurs 1950; 50:780-1
5. Deschambeau GL: Industrial engineering. Hospitals 1968; 42: 89-92
6. Feldman R, Hillson S, Wingert T: Measuring the dimensions of physician work Med Care 1994; 32:943-57
7. Franzini L, Berry JM: A cost-construction model to assess the total cost of an anesthesiology residency program. ANESTHESIOLOGY 1999; 90:257-68
8. Ventura SJ, Peters KD, Martin JA, Maurer JD: Births and deaths: United States 1996. Monthly Vital Stat Report 1997; 46(Suppl 2):5
9. Hankins GD, Rowe TF: Operative vaginal delivery: Year 2000. Am J Obstet Gyn 1996; 175:275-82
10. Robson S, Pridmore B, Dodd J: Outcomes of induced labor. Austr NZ J Obstet Gynecol 1997; 37:16-9
11. Prysak M, Castronova FC: Elective induction versus spontaneous labor: A case-control analysis of safety and efficacy. Obstet Gynecol 1998; 92:47-52
12. Ruderman J, Carroll JC, Reid AJ, Murray MA: Are physicians changing the way they practice obstetrics? Can Med Assoc J 1993; 148: 409-15
13. Macfarlane A: At last - Maternity statistics for England: Some trends are apparent but the data still have too many gaps. Br Med J 1998; 316:566-7
14. Riley E, Cohen S, Macario A, Desai J, Ratner E: Spinal versus epidural anesthesia for cesarean section: A comparison of time efficiency, costs, charges, and complications. Anesth Analg 1995; 80:709-12
15. Templin JL: Setting ambulatory surgery staffing standards and measuring productivity. Proceedings of the 11th Annual Quest for Quality and Productivity in Health Services Conference, Washington, DC, August 29-September 1, 1999, pp 82-91
16. McKee TC, Ward TJ, Iksen MW: From theory to practice: Developing decision support tools to manage cost and quality of obstetrical care. Proceedings of the 11th Annual Quest for Quality and Productivity in Health Services Conference, Washington, DC, August 29-September 1, 1999, pp 1-6
17. Posner KL, Freund PR: Trends in quality of anesthesia care associated with changing staffing patterns, productivity, and concurrency of case supervision in a teaching hospital. ANESTHESIOLOGY 1999; 91:839-47
18. Labor epidural survey shows wide variation in reimbursement. Am Soc Anesth News 1998; 62:28-9