{"title":"根据每个医疗活动的国家费用基础评估复苏费用(法国)","authors":"Y Tibi-Lévy , C Brun","doi":"10.1016/S1164-6756(00)90063-X","DOIUrl":null,"url":null,"abstract":"<div><p>The cost of intensive care is poorly documented in France, despite its contribution to the global hospital expenditures</p><p><strong>Objectives:</strong> To assess the cost of intensive care in France.</p><p><strong>Design:</strong> To calculate mean costs by type of patients, from the National Hospital Cost Survey (NHCS).</p><p><strong>Patients:</strong> Patients hospitalized in an intensive care unit (ICU) in the public sector in 1997.</p><p><strong>Results:</strong> The average cost of hospitalization in ICU is 20.532 ± 29.262 FF or 5.112 ± 3.256 FF per day (<em>N</em> = 23.029 after trimming). Intensive care represents 46% of medical costs per patient and 38% of their total costs. Daily cost varies according to the mode of hospital discharge and type of stay.</p><p><strong>Discussion:</strong> The NHCS is the best available source of data on hospital costs, but it still underestimates the cost of ICU for sampling reasons, and does not yet include data to refine an analysis.</p><p><strong>Conclusion:</strong> The study confirms that the costs of ICU are significant as compared to other hospital stays, and allows for the computation of plausible orders of magnitudes.</p></div>","PeriodicalId":101063,"journal":{"name":"Réanimation Urgences","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2000-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1164-6756(00)90063-X","citationCount":"3","resultStr":"{\"title\":\"Évaluation du coût de la réanimation, à partir de la Base nationale de coûts par activité médicale (France)\",\"authors\":\"Y Tibi-Lévy , C Brun\",\"doi\":\"10.1016/S1164-6756(00)90063-X\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>The cost of intensive care is poorly documented in France, despite its contribution to the global hospital expenditures</p><p><strong>Objectives:</strong> To assess the cost of intensive care in France.</p><p><strong>Design:</strong> To calculate mean costs by type of patients, from the National Hospital Cost Survey (NHCS).</p><p><strong>Patients:</strong> Patients hospitalized in an intensive care unit (ICU) in the public sector in 1997.</p><p><strong>Results:</strong> The average cost of hospitalization in ICU is 20.532 ± 29.262 FF or 5.112 ± 3.256 FF per day (<em>N</em> = 23.029 after trimming). Intensive care represents 46% of medical costs per patient and 38% of their total costs. Daily cost varies according to the mode of hospital discharge and type of stay.</p><p><strong>Discussion:</strong> The NHCS is the best available source of data on hospital costs, but it still underestimates the cost of ICU for sampling reasons, and does not yet include data to refine an analysis.</p><p><strong>Conclusion:</strong> The study confirms that the costs of ICU are significant as compared to other hospital stays, and allows for the computation of plausible orders of magnitudes.</p></div>\",\"PeriodicalId\":101063,\"journal\":{\"name\":\"Réanimation Urgences\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2000-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/S1164-6756(00)90063-X\",\"citationCount\":\"3\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Réanimation Urgences\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S116467560090063X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Réanimation Urgences","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S116467560090063X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 3
摘要
尽管法国对全球医院支出做出了贡献，但其重症监护费用在法国的记录很少。目的:评估法国重症监护费用。设计:根据国家医院成本调查(NHCS)，按患者类型计算平均成本。病人:1997年在公共部门重症监护病房(ICU)住院的病人。结果:ICU住院费用平均为20.532±29.262 FF / d或5.112±3.256 FF / d (N = 23.029)。重症监护占每位患者医疗费用的46%，占其总费用的38%。每日费用根据出院方式和住院类型而有所不同。讨论:国家卫生保健中心是关于医院费用的最佳数据来源，但由于抽样原因，它仍然低估了ICU的费用，并且尚未包括数据以完善分析。结论:该研究证实，与其他住院相比，ICU的费用是显着的，并且允许计算合理的数量级。
Évaluation du coût de la réanimation, à partir de la Base nationale de coûts par activité médicale (France)
The cost of intensive care is poorly documented in France, despite its contribution to the global hospital expenditures
Objectives: To assess the cost of intensive care in France.
Design: To calculate mean costs by type of patients, from the National Hospital Cost Survey (NHCS).
Patients: Patients hospitalized in an intensive care unit (ICU) in the public sector in 1997.
Results: The average cost of hospitalization in ICU is 20.532 ± 29.262 FF or 5.112 ± 3.256 FF per day (N = 23.029 after trimming). Intensive care represents 46% of medical costs per patient and 38% of their total costs. Daily cost varies according to the mode of hospital discharge and type of stay.
Discussion: The NHCS is the best available source of data on hospital costs, but it still underestimates the cost of ICU for sampling reasons, and does not yet include data to refine an analysis.
Conclusion: The study confirms that the costs of ICU are significant as compared to other hospital stays, and allows for the computation of plausible orders of magnitudes.
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