Title: Swiss hospital food : optimisation potential
Authors : Hofer, Susanne
Honegger, Franziska
Conference details: XXII World Congress, International Federation for Home Economics (IFHE), Global Wellbeing, Melbourne, Australia, 16 - 21 July 2012
Issue Date: Jul-2012
License (according to publishing contract) : Licence according to publishing contract
Type of review: Not specified
Language : English
Subjects : Food; Optimisation
Subject (DDC) : 362: Health and social services
640: Home economics and family living
Abstract: Aim In 2012 Switzerland will reimburse hospital costs through the diagnosis related group system (DRG), a system known for many years all around the world. This is a fundamental change as up to 2011 hospitals were paid for their cost, whatever they priced (Fetter, 1991; Teisberg, 2008). One of the aims of the Swiss government is to handle the on-going raise of health care cost and hospitals have to budget with the prospective reimbursement schema. Therefore hospitals need to analyse their processes in terms of effectiveness and efficiency. Intention of our research was to detect how this change influences hospitals meal provisions for patients, in order to identify possible efficiency potential. Methods Literature review and qualitative interviews Findings Today’s spending for acute hospitals is about CHF 17bn (BfS, 2011). 65% of that sum is consumed by hospitals core activities, medicine and care. And 35%, or CHF 6bn, by their supporting services, which are provided under the roof of facilities management (Lennerts & Abel, 2006). Clear is that in Switzerland patient meal provision is one of the most costly support services due to the high costs of labour, material and patient expectations. The SwissDRG introduction involves two major changes directly affecting this process: • Expected decrease in the inpatients average length of stay, i.e.: Switzerland 2010: 7.5 days, Sweden 2010: 4.5 days (OECD, 2011) • Chance in space utilisation: Up to 2011 space was defined by the user’s needs, under SwissDRG the available resources define space allocation as construction has to be fully financed by the prospective payments Swiss hospitals offer their patients a broad range of different diet meals. Their number varies between 30 and 85 and the definition of diet is diversely outlined by the hospitals as there are no defined standards. With a share between 20-60% of the total food production, administered diets generate a lot of the production cost and need production space. Production cost of the dietary food lies about 23-29% above the cost for normal meals (Biotti & Hofer, 2008). Conclusion The findings lead to the conclusion that efficiency potential lies in the reduction of costly diets as their use is questioned due to inpatients decreasing average length of stay. Standards need to be defined. The new freed space of hospital kitchens could be used for more profitable activities.
Departement: Life Sciences und Facility Management
Organisational Unit: Institute of Facility Management (IFM)
Publication type: Conference Other
URI: http://www.diva-portal.se/smash/get/diva2:548507/FULLTEXT02.pdf
https://digitalcollection.zhaw.ch/handle/11475/6212
Appears in Collections:Publikationen Life Sciences und Facility Management

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