期刊
VALUE IN HEALTH
卷 15, 期 1, 页码 81-86出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jval.2011.09.007
关键词
comparative study; cost analysis; costing methodology; Europe; intensive care
资金
- GlaxoSmithKline
- Goppingen (Germany)
- San Paolo Hospital in Milan (Italy)
- Azienda Ospedaliera in Padova (Italy)
- Erasmus MC University Medical Center in Rotterdam (the Netherlands)
- Gelre Hospitals in Apeldoorn (the Netherlands)
- Isala Clinics in Zwolle (the Netherlands)
Objectives: The objective of the present study was to measure and compare the direct costs of intensive care unit (ICU) days at seven ICU departments in Germany, Italy, the Netherlands, and the United Kingdom by means of a standardized costing methodology. Methods: A retrospective cost analysis of ICU patients was performed from the hospital's perspective. The standardized costing methodology was developed on the basis of the availability of data at the seven ICU departments. It entailed the application of the bottom-up approach for hotel and nutrition and the top-down approach for diagnostics, consumables, and labor. Results: Direct costs per ICU day ranged from (sic)1168 to (sic)2025. Even though the distribution of costs varied by cost component, labor was the most important cost driver at all departments. The costs for labor amounted to (sic)1629 at department G but were fairly similar at the other departments ((sic)711 +/- 115). Conclusions: Direct costs of ICU days vary widely between the seven departments. Our standardized costing methodology could serve as a valuable instrument to compare actual cost differences, such as those resulting from differences in patient case-mix.
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