Intensive care reimbursement practices: Results from the ICUFUND survey

Akos Csomos, Szilard Varga, Guido Bertolini, Clare Hibbert, Janos Sandor, Maurizia Capuzzo, Bertrand R. Guidet

Research output: Contribution to journalArticle

Abstract

Objective: To assess patterns of intensive care reimbursement practices. Methods: A detailed questionnaire about basic intensive care unit (ICU) characteristics and ICU reimbursement practices was created, and then members of the European Society of Intensive Care (ESICM) were asked by e-mail to participate in the survey and complete the web-based questionnaire. Results: There were a total of 447 responses analyzed. Of respondents, 51.5% stated that their ICU received detailed financial information; however, only 15.4% of respondents could identify each cost item for each patient. A majority of respondents (77.6%) stated that their unit's reimbursement system was included in the hospital reimbursement. ICU reimbursement systems were most commonly based on previous year's ICU expenditure (51.0%) and diagnosis-related group weights (36%). Selecting European respondents (n = 306) showed that supplying detailed financial information makes ICU doctors significantly more satisfied (p = 0.019) with their reimbursement system. Regarding ICU funding elements, the most satisfied with their ICU reimbursement system were those respondents from ICUs where nursing workload score was used (p = 0.018). Conclusions: Our result indicates that ICU physicians who receive detailed financial information about their units are more satisfied with their reimbursement system than those not receiving this information. Nursing workload score may have advantage over other forms of reimbursement practices. ICU physicians would like to be more involved in their unit's financial aspects and would prefer separate funding from hospital.

Original languageEnglish
Pages (from-to)1759-1764
Number of pages6
JournalIntensive Care Medicine
Volume36
Issue number10
DOIs
Publication statusPublished - Oct 2010

Keywords

  • Health economics and organization
  • Health insurance funding
  • ICU expenditure
  • ICU reimbursement

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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    Csomos, A., Varga, S., Bertolini, G., Hibbert, C., Sandor, J., Capuzzo, M., & Guidet, B. R. (2010). Intensive care reimbursement practices: Results from the ICUFUND survey. Intensive Care Medicine, 36(10), 1759-1764. https://doi.org/10.1007/s00134-010-1911-8