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A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care

Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
Indexed/Abstracted in: Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,036

Frequency: Monthly

ISSN 0375-9393

Online ISSN 1827-1596


Minerva Anestesiologica 2000 November;66(11):819-24



Cost analysis of an Italian ICU

Piacentino V. *, La Grua M., Peruzzi E., Lavacchi L., Barontini L., Giani S., Paolini P.

From the Anaesthe­sia, Inten­sive ­Care and ­Pain Ther­a­py ­Unit of the Hos­pi­tal of Pis­toia, Ita­ly
*Anaesthe­sia, Inten­sive ­Care and ­Pain Ther­a­py ­Unit of the Hos­pi­tal of Luc­ca, Ita­ly

Back­ground. ­Cost reduc­tion is an impor­tant ­issue in med­i­cine ­today, espe­cial­ly ­when con­sid­er­ing ­ICUs, ­since ­they ­account for a ­large per­cent­age of all hos­pi­tal expen­di­ture. ­Through a ret­ro­spec­tive anal­y­sis of the ­data regard­ing the expens­es ­incurred dur­ing the ­years 1996-97, we ­have ­been ­able to eval­u­ate the ­total ­costs of our ICU and the influ­ence ­that ­each com­po­nent had on the ­final ­costs, ­thus gath­er­ing the nec­es­sary infor­ma­tion for the improve­ment of the ­unit ­itself.
Meth­ods. Ret­ro­spec­tive anal­y­sis of a 5-bed­ded mul­ti­dis­ci­pli­nary ICU activ­ity ­over a two-­year peri­od (1996-1997). ­Cost-relat­ed ­data ­have ­been sup­plied by the Hos­pi­tal Admin­is­tra­tion as to wag­es, infra­struc­tures, equip­ment buy­ing and main­te­nance; by Hos­pi­tal Phar­ma­cy as to ­drugs and devic­es sup­plies; and by Labor­a­to­ry and Radiol­o­gy as to diag­nos­tic inves­ti­ga­tions.
­Results. Accord­ing to our expe­ri­ence, phy­si­cians and non-med­i­cal ­staff ­account for ­more ­than 50% of the ­total expen­di­ture - the lat­ter slight­ly pre­vail­ing. Fur­ther­more, we ­have ­assessed ­that the ­cost dis­tri­bu­tion is hard­ly com­par­able to ­that report­ed by oth­er ­authors.
Con­clu­sions. It is use­ful to ana­lyse the ­total dis­tri­bu­tion and to eval­u­ate ­their ­nature ­only to ­gain the nec­es­sary ­data ­that ­will ­lead to a ­more effec­tive man­age­ment of the ­unit. Nev­er­the­less, ­this meth­o­dol­o­gy is val­id with­in the ­cost anal­y­sis of our ­ICUs but the ­ICUs of oth­er coun­tries ­show ­great dif­fer­enc­es in the way ­they are struc­tured and ­some of ­the use ­more reli­able activ­ity-­based cost­ing meth­o­dol­o­gy.

language: English


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