Home > Journals > Minerva Anestesiologica > Past Issues > Minerva Anestesiologica 2000 November;66(11) > Minerva Anestesiologica 2000 November;66(11):819-24

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

MINERVA ANESTESIOLOGICA

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 2,623


eTOC

 

ORIGINAL ARTICLES  CRITICAL AND INTENSIVE THERAPYFREEfree


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

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

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


FULL TEXT  


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.

top of page

Publication History

Cite this article as

Corresponding author e-mail