The costs of intensive care

Seidel, Joan; Whiting, PC; Edbrooke, D. L.

doi:10.1093/bjaceaccp/mkl030

Cited by 27 publications

(17 citation statements)

References 8 publications

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“…Medical advances, together with increasing life expectancy, have increased the proportion of patients with multiple morbidities, thereby increasing demands for intensive care beds. [5] The need for ICU services often exceeds the availability of ICU beds. In the public sector, the development of new hospitals with ICUs has been constrained owing to the increasing focus on making primary healthcare accessible to the population.…”

Section: Researchmentioning

confidence: 99%

Cost of intensive care services at a central hospital in South Africa

Mahomed

2018

S Afr Med J

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Section: Researchmentioning

confidence: 99%

Cost of intensive care services at a central hospital in South Africa

Mahomed

2018

S Afr Med J

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“…It is also interesting to note that the median expenditure for the nursing and other staff was almost equal to that of the medical staff (Table 2). In the UK study, the total cost for nursing and technical staff was four times that of the medical staff [2]. Although the nursing staff outnumbered the medical staff in Trinidad, the wide disparities in the salaries may account for the total overall comparability.…”

Section: Discussionmentioning

confidence: 99%

“…The cost‐blocks method, which was developed in the UK, is a commonly applied model for costing intensive care [2]. It has been used in other parts of Europe such as France, Norway and Hungary, and also in Australia [3–6].…”

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confidence: 99%

Cost evaluation in the intensive care units of Trinidad applying the cost‐blocks method – an international comparison*

2007

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SummaryThis study evaluated the costs of intensive care in Trinidad applying the cost-blocks method. Data regarding demographics, severity of illness, therapeutic interventions and length of stay were prospectively recorded for 111 patients admitted to four intensive care units during a 3-month period. Annual costs, cost per admission, cost per patient-day and cost per therapeutic intervention score point were derived. The cost-block for staff, especially medical staff, was the largest proportion of the expenditure. Process of care and outcome were comparable, whereas costs were lower than the developed countries. The median cost per intensive care unit bed per year and cost per patient per day in Trinidad were £133 117 and £366, respectively, in comparison with £265 163 and £904 in the UK. The cost-blocks method is a useful framework for evaluating the costs of intensive care and for comparing costs between countries.

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“…The method of the six cost blocks (Intensive Care Working Group on Costing) [19] was used to identify individual components and their contribution to the total costs (Table 1).…”

Section: Methodsmentioning

confidence: 99%

Outcomes analysis of hospital management model in restricted budget conditions

Vaseva

Voynov

Donchev

et al. 2016

Biotechnology & Biotechnological Equipment

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Facing conditions of market economy and financial crisis, the head of any healthcare facility has to take adequate decisions about the cost-effective functioning of the hospital. Along with cost reduction, the main problem is how to maintain a high level of health services. The aim of our study was to analyse the quality of healthcare services after the implementation of control over expenses due to a reduction in the budgetary resources in Military Medical Academy (MMA, Sofia, Bulgaria). Data from the hospital information system and the Financial Department about the incomes and expenditures for patient treatment were used. We conducted a retrospective study on the main components of clinical indicators in 2013 to reveal the main problems in the hospital management. In 2014, control was imposed on the use of the most expensive medicines and consumables. Comparative analysis was made of the results of the medical services in MMA for 2013 and 2014. Our results showed that despite the limited budget in MMA over the last year, the policy of control over operational costs succeeded in maintaining the quality of healthcare services. While reducing the expenses for medicines, consumables and laboratory investigations by »26%, some quality criteria for healthcare services were observed to be improved by »9%. Financial crisis and budget reduction urge healthcare economists to create adequate economical instruments to assist the normal functioning of hospital facilities. Our analysis showed that when a right policy is chosen, better results may be achieved with fewer resources.

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The costs of intensive care

Cited by 27 publications

References 8 publications

Cost of intensive care services at a central hospital in South Africa

Cost of intensive care services at a central hospital in South Africa

Cost evaluation in the intensive care units of Trinidad applying the cost‐blocks method – an international comparison*

Outcomes analysis of hospital management model in restricted budget conditions

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