Il costo del reparto di terapia intensiva in Italia. Risultati da un'indagine empirica su un campione di 12 centri.

Translated title of the contribution: Cost of ICU in Italy. Results from an empirical study on a sample of 12 hospitals

M. C. Cavallo, C. Lazzaro, M. Tabacchi, M. Langer, I. Salvo, G. Serra, C. Taddei

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

BACKGROUND: The Italian hospital payment system based on DRG doesn t properly include Intensive Care Units (ICU) costs. Since great emphasis has been recently given to rationing health care resources, assessing ICU costs seems to be dramatically relevant. Aim of the study was to assess the average yearly cost and the cost per diem of a sample of Italian multispecialistic ICU wards. METHODS: In September 1995, a questionnaire concerning data on variable and fixed cost was sent to 25 Italian ICU wards, 11 NHS hospital-based (Northern Italy: 5; Central Italy: 4; Southern Italy: 2) and 14 school of medicine-based (Northern Italy: 7; Central Italy: 5; Southern Italy: 2). Variable cost data included: disposable, drugs, blood and blood-derived products, physical tests, chemical and microbiological routines, instrumental diagnostic procedures and physiotherapy. Concerning fixed costs, data on personnel and equipment were requested. In addition, some hospital overheads data (utilities; power; heating; maintenance; cleaning; laundry; accounting; waste disposal; cafeteria) were collected. RESULTS: On the basis of the 12 questionnaires returned (Northern Italy: 9; Central Italy: 3; Southern Italy: 0), the yearly cost of an ICU ward is Liras 4,580,032,000 (range 2,739,277,000-7,704,292,000), whereas the average cost per diem is Liras 1,802,000 (range 1,234,000-3,179,000). Cost of personnel is about 61% of the above mentioned costs. CONCLUSIONS: Despite the lack of questionnaires from Southern Italy and the unavailability of some data concerning both the cost of equipment and the overheads, the remarkable average cost values obtained could support further research.

Original languageItalian
Pages (from-to)41-53
Number of pages13
JournalMinerva Anestesiologica
Volume67
Issue number1-2
Publication statusPublished - Jan 2001

Fingerprint

Italy
Intensive Care Units
Costs and Cost Analysis
Equipment and Supplies
Health Resources
Diagnosis-Related Groups
Heating
Maintenance
Medicine

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Cavallo, M. C., Lazzaro, C., Tabacchi, M., Langer, M., Salvo, I., Serra, G., & Taddei, C. (2001). Il costo del reparto di terapia intensiva in Italia. Risultati da un'indagine empirica su un campione di 12 centri. Minerva Anestesiologica, 67(1-2), 41-53.

Il costo del reparto di terapia intensiva in Italia. Risultati da un'indagine empirica su un campione di 12 centri. / Cavallo, M. C.; Lazzaro, C.; Tabacchi, M.; Langer, M.; Salvo, I.; Serra, G.; Taddei, C.

In: Minerva Anestesiologica, Vol. 67, No. 1-2, 01.2001, p. 41-53.

Research output: Contribution to journalArticle

Cavallo, MC, Lazzaro, C, Tabacchi, M, Langer, M, Salvo, I, Serra, G & Taddei, C 2001, 'Il costo del reparto di terapia intensiva in Italia. Risultati da un'indagine empirica su un campione di 12 centri.', Minerva Anestesiologica, vol. 67, no. 1-2, pp. 41-53.
Cavallo MC, Lazzaro C, Tabacchi M, Langer M, Salvo I, Serra G et al. Il costo del reparto di terapia intensiva in Italia. Risultati da un'indagine empirica su un campione di 12 centri. Minerva Anestesiologica. 2001 Jan;67(1-2):41-53.
Cavallo, M. C. ; Lazzaro, C. ; Tabacchi, M. ; Langer, M. ; Salvo, I. ; Serra, G. ; Taddei, C. / Il costo del reparto di terapia intensiva in Italia. Risultati da un'indagine empirica su un campione di 12 centri. In: Minerva Anestesiologica. 2001 ; Vol. 67, No. 1-2. pp. 41-53.
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abstract = "BACKGROUND: The Italian hospital payment system based on DRG doesn t properly include Intensive Care Units (ICU) costs. Since great emphasis has been recently given to rationing health care resources, assessing ICU costs seems to be dramatically relevant. Aim of the study was to assess the average yearly cost and the cost per diem of a sample of Italian multispecialistic ICU wards. METHODS: In September 1995, a questionnaire concerning data on variable and fixed cost was sent to 25 Italian ICU wards, 11 NHS hospital-based (Northern Italy: 5; Central Italy: 4; Southern Italy: 2) and 14 school of medicine-based (Northern Italy: 7; Central Italy: 5; Southern Italy: 2). Variable cost data included: disposable, drugs, blood and blood-derived products, physical tests, chemical and microbiological routines, instrumental diagnostic procedures and physiotherapy. Concerning fixed costs, data on personnel and equipment were requested. In addition, some hospital overheads data (utilities; power; heating; maintenance; cleaning; laundry; accounting; waste disposal; cafeteria) were collected. RESULTS: On the basis of the 12 questionnaires returned (Northern Italy: 9; Central Italy: 3; Southern Italy: 0), the yearly cost of an ICU ward is Liras 4,580,032,000 (range 2,739,277,000-7,704,292,000), whereas the average cost per diem is Liras 1,802,000 (range 1,234,000-3,179,000). Cost of personnel is about 61{\%} of the above mentioned costs. CONCLUSIONS: Despite the lack of questionnaires from Southern Italy and the unavailability of some data concerning both the cost of equipment and the overheads, the remarkable average cost values obtained could support further research.",
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