[A method for making up the cost pricing of clinico-diagnostic studies in oncology]. / Metodika formirovaniia sebestoimosti klniko-diagnosticheskikh issledovanii v onkologii.

The functioning of the present-day system of public health is largely determined by the extent and effectiveness of the use of resources. The saving of resources is reflected in the costs. The research was concerned with development of methods of calculating the costs of clinical laboratory tests. Due account of costs offers means for evolving new patterns of self-reliance accounting and paid medical services.

[Methodology of calculating the net cost of biochemical clinical studies]. / Metodologiia rascheta sebestoimosti biokhimicheskikh klinicheskikh issledovanii.

A method for estimating the net cost of biochemical investigations has been developed as exemplified by the clinical laboratory of the N. N. Petrov Research Institute of Oncology of the USSR Ministry of Health. A data bank including information on the wages fund, cost of material used, equipment wear, and other expenditures was created for these estimations. Labor consumption for each of the 27 types of biochemical investigations comprised the production time of physicians (79.3 percent) and laboratory assistants (87.3 percent). Net cost of physicians' productive minute has made up 0.04 roubles, that of laboratory assistants' minute, 0.02 roubles. Wastes unrelated to the time of investigation were also taken into consideration.

[Estimating the net cost of clinical hematologic studies]. / Raschet sebestoimosti klinicheskikh gematologicheskikh issledovanii.

The authors describe the method for estimating the net cost of hematologic clinical laboratory studies, which is based on the development of a standard basis. Reference value of the productive time of physicians and laboratory assistants was estimated from consumption elements using auto-recording of a work day. It has made up 71 percent of physicians' work time and 75 percent of laboratory assistants' work time. Development of cost account in public health system, introduction of standard mechanisms for the formation and distribution of resources will augment the regulating role of such planned and calculated differentiated parameters as net cost, cost, labour intensity of medical workers. Development of a standard basis and estimation of net cost of investigations will help a clinical diagnostic laboratory to convert to new forms of economy and to render paid medical service to institutions and citizens.