The development of a method for comparative costing of individual intensive care units
The development of a method for comparative costing of individual intensive care units
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DOI：
10.1046/j.1365-2044.1999.00650.x
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发表时间：
1999-02-01
期刊：
影响因子：
10.7
通讯作者：
Dickie, H
中科院分区：
文献类型：
--
作者：
Edbrooke, D;Hibbert, C;Dickie, H
重症监护是医院护理中最昂贵的领域之一。不幸的是，由于病例组合的多样化，重症监护的成本计算很困难。以前所描述的许多成本计算方法由于繁琐、费力和昂贵而受到限制。本研究的目的是开发一种重症监护成本计算方法，该方法可以轻松应用，但促进重症监护病房之间有意义的成本比较。所制定的方法以成本块为基础，其中以“自上而下”的方式确定主要组成部分并对其进行成本核算。成本块采用严格的定义，试图衡量设备、物业、非临床支助服务（如医院管理费用）、临床支助服务（如物理治疗、实验室服务）、消耗品（如药品、液体和一次性用品）和工作人员的成本。研究发现，临床支持服务、消耗品和工作人员费用约占总费用的85%。
Intensive care is one of the most costly areas of hospital care. Unfortunately, because of the diversify of case mix, costing intensive care is difficult. Many described costing methods previously are limited by being cumbersome, laborious to apply and expensive. The aim of this study was to develop a method for costing intensive care which can be applied with ease but facilitate meaningful cost comparisons between intensive care units. The method developed was based on cost blocks where the major components were identified and costed in a 'top-down' manner, Using strict definitions, the cost blocks attempted to measure the costs of equipment, estates, nonclinical support services (such as hospital management costs), clinical support services (such as physiotherapy, laboratory services), consumables (such as drugs, fluids and disposables) and staff. The study found that clinical support services, consumables and staff costs accounted for approximately 85% of the total costs.