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Journal articles on the topic 'Hospital Costs and Cost Analysis'

Author: Grafiati

Published: 4 June 2021

Last updated: 5 February 2022

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1

Dianingati, Ragil Setia, and Arthorn Riewpaiboon. "Development of Cost Analysis Guidance for Indonesian Hospitals." JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) 9, no. 4 (2019): 252. http://dx.doi.org/10.22146/jmpf.45656.

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Health technology assessment is important in the process of national health insurance system development. On the other hand, health technology assessment study needs a cost analysis as a basic, which is a troublesome if there is not any guidance. To help performing the cost analysis study, this study describes the development of a costing manual book and template as a guide for costing analysis in Indonesian hospitals. This management tool developed in stages, from tool drafting, testing in the real life environment, to approval from stakeholders. Costing templates were developed using Microso

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Straatman, Jennifer, Miguel A. Cuesta, Elly S. M. de Lange-de Klerk, and Donald L. van der Peet. "Hospital Cost-Analysis of Complications after Major Abdominal Surgery." Digestive Surgery 32, no. 2 (2015): 150–56. http://dx.doi.org/10.1159/000371861.

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Background: Complications after major abdominal surgery (MAS) are associated with increased morbidity and mortality. Rising costs in health care are of increasing interest and a major factor affecting hospital costs are postoperative complications. In this study, the costs associated with complications are assessed. Methods: Retrospective cohort study of 399 consecutive patients that underwent MAS. Analysis of total costs for hospital stay, complications and treatment was performed, including bootstrapping; allowing for subtraction of data with 95% confidence intervals. Results: For a single p

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Cali, Jonathan, Heather Cogswell, Mompati Buzwani, Elizabeth Ohadi, and Carlos Avila. "Cost-benefit analysis of outsourcing cleaning services at Mahalapye hospital, Botswana." Journal of Hospital Administration 5, no. 1 (2015): 114. http://dx.doi.org/10.5430/jha.v5n1p114.

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Objective: As part of its national privatization strategy to diversify the economy, Botswana has started outsourcing nonclinical services at seven public hospitals. Hospital managers are signing contracts without knowing whether outsourcing offers better value for money than “insourcing”. The objective of this study is to assist hospital administrators in making evidence-based outsourcing decisions.Methods: We conducted a cost-benefit analysis of cleaning services at Mahalapye Hospital. We take the hospital manager’s perspective when considering two alternatives: outsourcing, and “insourcing”.

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D'souza, Bryal, Arun MS, and Bijoy Johnson. "Comparative Analysis of Cost of Biomedical Waste Management in Rural India." International Journal of Research Foundation of Hospital and Healthcare Administration 4, no. 1 (2016): 11–15. http://dx.doi.org/10.5005/jp-journals-10035-1053.

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ABSTRACT Introduction The quantum of waste generated from medical care and activities is a global matter of concern. Improper management of biomedical waste (BMW) has a grave health impact on the community, health care professionals, and the environment.1 It is mandatory by law that every medical organization that generates waste should have a system, process, and resources in place for segregating BMW within the organization for proper disposal. The present article deals with the understanding of various costs associated in BMW management process that will help the health care organization to

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Pynnä, Kristiina, Pirjo Räsänen, Risto P. Roine, Piia Vuorela, and Harri Sintonen. "Where does the money go to? Cost analysis of gynecological patients with a benign condition." PLOS ONE 16, no. 7 (2021): e0254124. http://dx.doi.org/10.1371/journal.pone.0254124.

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Objectives The impact of benign gynecological conditions on life of women and on costs for the society is high. The purpose of this study is to gain knowledge and understanding of costs of the treatment of these disorders in order to be able to improve the clinical care processes, gain insight into feasible savings opportunities and to allocate funds wisely. Methods The healthcare processes of 311 women attending university or community hospitals in the Helsinki and Uusimaa Hospital District between June 2012 and August 2013 due to a benign gynecological condition were followed up for two year

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Westbrook, Johanna I., Elena Gospodarevskaya, Ling Li, et al. "Cost-effectiveness analysis of a hospital electronic medication management system." Journal of the American Medical Informatics Association 22, no. 4 (2015): 784–93. http://dx.doi.org/10.1093/jamia/ocu014.

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Abstract Objective To conduct a cost–effectiveness analysis of a hospital electronic medication management system (eMMS). Methods We compared costs and benefits of paper-based prescribing with a commercial eMMS (CSC MedChart) on one cardiology ward in a major 326-bed teaching hospital, assuming a 15-year time horizon and a health system perspective. The eMMS implementation and operating costs were obtained from the study site. We used data on eMMS effectiveness in reducing potential adverse drug events (ADEs), and potential ADEs intercepted, based on review of 1 202 patient charts before (n =

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Brimhall, Bradley B., Troy Dean, Edgar L. Hunt, Richard B. Siegrist, and William Reiquam. "Age and Laboratory Costs for Hospitalized Medical Patients." Archives of Pathology & Laboratory Medicine 127, no. 2 (2003): 169–77. http://dx.doi.org/10.5858/2003-127-169-aalcfh.

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Abstract Objective.—To examine the hypothesis that older hospitalized patients have higher laboratory costs than younger patients in the same severity-adjusted diagnosis-related group (DRG). Design.—We obtained hospital case mix data sets (1995–1997) from the Massachusetts Division of Health Care Finance and Policy. We selected discharge abstracts from 4 medical DRGs, at 5 large academic hospitals (n = 15 265) and 5 midsized community hospitals (n = 10 540), for analysis. We converted laboratory and blood product charges to direct costs using the department-specific ratio of cost to charges. W

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Zygourakis, Corinna C., Caterina Y. Liu, Seungwon Yoon, et al. "Analysis of Cost Variation in Craniotomy for Tumor Using 2 National Databases." Neurosurgery 81, no. 6 (2017): 972–79. http://dx.doi.org/10.1093/neuros/nyx133.

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Abstract BACKGROUND There is a significant increase and large variation in craniotomy costs. However, the causes of cost differences in craniotomies remain poorly understood. OBJECTIVE To examine the patient and hospital factors that underlie the cost variation in tumor craniotomies using 2 national databases: the National Inpatient Sample (NIS) and Vizient, Inc. (Irving, Texas). METHODS For 41 483 patients who underwent primary surgery for supratentorial brain tumors from 2001 to 2013 in the NIS, we created univariate and multivariate models to evaluate the effect of several patient factors a

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Dallas, Jonathan, Chevis N. Shannon, and Christopher M. Bonfield. "The effect of hospital characteristics on pediatric neuromuscular scoliosis fusion cost." Journal of Neurosurgery: Pediatrics 24, no. 6 (2019): 713–21. http://dx.doi.org/10.3171/2019.7.peds19194.

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OBJECTIVESpinal fusion is used in the treatment of pediatric neuromuscular scoliosis (NMS) to improve spine alignment and delay disease progression. However, patients with NMS are often medically complex and require a higher level of care than those with other types of scoliosis, leading to higher treatment costs. The purpose of this study was to 1) characterize the cost of pediatric NMS fusion in the US and 2) determine hospital characteristics associated with changes in overall cost.METHODSPatients were identified from the National Inpatient Sample (2012 to the first 3 quarters of 2015). Inc

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Liu, Jingyi, Natalia Gormley, Hormuzdiyar H. Dasenbrock, et al. "Cost-Benefit Analysis of Transitional Care in Neurosurgery." Neurosurgery 85, no. 5 (2018): 672–79. http://dx.doi.org/10.1093/neuros/nyy424.

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AbstractBACKGROUNDTransitional care programs (TCPs) coordinate care to improve safety and efficiency surrounding hospital discharge. While TCPs have the potential to reduce hospital length of stay and readmissions, their financial implications are less well understood.OBJECTIVETo perform a cost-benefit analysis of a previously published neurosurgical TCP implemented at an urban academic hospital from 2013 to 2015.METHODSPatients received intensive preoperative education and framing of expectations for hospitalization, in-hospital discharge planning and medication reconciliation with a nurse ed

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DeMarco, Deborah M., Richard Forster, Thomas Gakis, and Robert W. Finberg. "Eliminating Residents Increases the Cost of Care." Journal of Graduate Medical Education 9, no. 4 (2017): 514–17. http://dx.doi.org/10.4300/jgme-d-16-00671.1.

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ABSTRACT Background Academic health centers are facing a potential reduction in Medicare financing for graduate medical education (GME). Both the Medicare Payment Advisory Commission and the National Commission on Fiscal Responsibility and Reform (Deficit Commission) have suggested cutting approximately half the funding that teaching hospitals receive for indirect medical education. Because of the effort that goes into teaching trainees, who are only transient employees, hospital executives often see teaching programs as a drain on resources. Objective In light of the possibility of a Medicare

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Kopach, Renata, Somayeh Sadat, Ian D. Gallaway, Glen Geiger, Wendy J. Ungar, and Peter C. Coyte. "Cost-effectiveness analysis of medical documentation alternatives." International Journal of Technology Assessment in Health Care 21, no. 1 (2005): 126–31. http://dx.doi.org/10.1017/s0266462305050166.

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Objectives:The delay between patient discharge and the completion of the final discharge note have prompted hospitals to consider new information technologies. This study compared the relative cost-effectiveness of an automated medical documentation system to the current system in place at a Canadian hospital. There are significant expenditures associated with the choice of medical documentation system, yet the benefit to the patient population has not been studied.Methods:A systematic review of the literature was carried out. Cost data for the current documentation system were obtained from t

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Honein-AbouHaidar, G. N., J. S. Hoch, M. J. Dobrow, T. Stuart-McEwan, D. R. McCready, and A. R. Gagliardi. "Cost analysis of breast cancer diagnostic assessment programs." Current Oncology 24, no. 5 (2017): 354. http://dx.doi.org/10.3747/co.24.3608.

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Objectives Diagnostic assessment programs (daps) appear to improve the diagnosis of cancer, but evidence of their cost-effectiveness is lacking. Given that no earlier study used secondary financial data to estimate the cost of diagnostic tests in the province of Ontario, we explored how to use secondary financial data to retrieve the cost of key diagnostic test services in daps, and we tested the reliability of that cost-retrieving method with hospital-reported costs in preparation for future cost-effectiveness studies.Methods We powered our sample at an alpha of 0.05, a power of 80%, and a ma

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Mesti, Tanja, Biljana Mileva Boshkoska, Mitja Kos, Metka Tekavčič, and Janja Ocvirk. "The cost of systemic therapy for metastatic colorectal carcinoma in Slovenia: discrepancy analysis between cost and reimbursement." Radiology and Oncology 49, no. 2 (2015): 200–208. http://dx.doi.org/10.2478/raon-2014-0046.

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AbstractBackground. The aim of the study was to estimate the direct medical costs of metastatic colorectal cancer (mCRC) treated at the Institute of Oncology Ljubljana and to question the healthcare payment system in Slovenia.Methods. Using an internal patient database, the costs of mCRC patients were estimated in 2009 by examining (1) mCRC direct medical related costs, and (2) the cost difference between payment received by Slovenian health insurance and actual mCRC costs. Costs were analysed in the treatment phase of the disease by assessing the direct medical costs of hospital treatment wit

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Young, Donald S., Bruce S. Sachais, and Leigh C. Jefferies. "The Costs of Disease." Clinical Chemistry 46, no. 7 (2000): 955–66. http://dx.doi.org/10.1093/clinchem/46.7.955.

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Abstract Background: To date there have been no studies identifying and comparing the component costs to treat a large number of diseases for hospitalized inpatients. Methods: Hospital costs were analyzed for 486 diagnosis-related groups (DRGs) relating to &gt;1.3 million patient discharges from 60 University Hospital members of the University HealthSystems Consortium. For each DRG, length of stay, total cost, and key cost components were analyzed, including accommodation, intensive care, and surgery. Results: In general, total costs of diseases classified as surgical exceeded those classi

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Sgobin, Sara Maria Teixeira, Ana Luisa Marques Traballi, Neury José Botega, and Otávio Rizi Coelho. "Direct and indirect cost of attempted suicide in a general hospital: cost-of-illness study." Sao Paulo Medical Journal 133, no. 3 (2015): 218–26. http://dx.doi.org/10.1590/1516-3180.2014.8491808.

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CONTEXT AND OBJECTIVE: Knowledge of socioeconomic impact of attempted suicide may sensitize managers regarding prevention strategies. There are no published data on this in Brazil. The aim here was to describe the direct and indirect costs of care of hospitalized cases of attempted suicide and compare these with the costs of acute coronary syndrome cases.DESIGN AND SETTING: Cost-of-illness study at a public university hospital in Brazil.METHOD: The costs of care of 17 patients hospitalized due to attempted suicide were compared with those of 17 acute coronary syndrome cases at the same hospita

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Mleșnițe, Mihai, and Ioan Stelian Bocșan. "COST-EFFICIENCY ANALYSIS OF A MULTI-PAVILION HOSPITAL IN CLUJ COUNTY." Medicine and Pharmacy Reports 89, no. 1 (2016): 110–16. http://dx.doi.org/10.15386/cjmed-606.

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Background and aim: Multi-hospital health systems have become the most popular administrative structure in healthcare, leading to both opportunities and challenges for hospital administrators. In government-funded healthcare systems, there is a balance between costs and the provision of health services.The aim of the present study is to assess the efficiency in terms of costs of a multi-pavilion hospital from Cluj County, Romania.Methods: The institution analyzed in this article is the Adults’ Clinical Hospital in Cluj-Napoca. A descriptive retrospective study collected data from January 2004

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Zygourakis, Corinna Clio, Justin K. Scheer, Seungwon Yoon, et al. "161 Direct Cost Analysis of 38 Cervical Spinal Deformity Operations Across Two Major Spinal Deformity Centers with Implications for Catastrophic Costs and 90-Day Cost Bundles." Neurosurgery 64, CN_suppl_1 (2017): 240. http://dx.doi.org/10.1093/neuros/nyx417.161.

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Abstract INTRODUCTION CMS has recently implemented 90-day cost bundles for joint replacement surgery, and taken steps to expand bundled payment programs. Our goal is to determine the 90-day costs associated with cervical spinal deformity cases across two major spinal deformity centers in order to guide the development of reasonable bundled payment plans. METHODS Retrospective evaluation of adults who underwent cervical deformity surgery 2013–2016 at two major spinal deformity centers (UCSF, Baylor). Inclusion criteria included adult patients with cervical kyphosis (C2-7 Cobb angle >10°°) or

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Behbehani, Naser Awadh, Anton Grunfeld, and J. Mark FitzGerald. "Health Care Costs Associated with Acute Asthma: A Prospetive Economic Analysis." Canadian Respiratory Journal 6, no. 6 (1999): 521–25. http://dx.doi.org/10.1155/1999/946894.

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OBJECTIVE: To determine the direct and indirect costs associated with the care of acute asthma in an adult teaching hospital.DESIGN: A prospective, cost identification study.PATIENTS AND METHODS: Patients aged 15 to 55 years presenting with acute asthma. Consecutive emergency department visits for asthma at Vancouver Hospital and Health Sciences Centre over six months were prospectively monitored. The duration of hospital stay, physician?s care, laboratory procedures and medication given were recorded. Time lost from work or school was determined by follow-up telephone calls. The costs were ca

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Zhou, Jiong, and Xiaojun Ma. "Cost-benefit analysis of craniocerebral surgical site infection control in tertiary hospitals in China." Journal of Infection in Developing Countries 9, no. 02 (2015): 182–89. http://dx.doi.org/10.3855/jidc.4482.

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Introduction: Surgical site infection (SSI) is one of the most common postoperative complications. This study aimed to determine the cost of SSIs and to evaluate whether SSI control can reduce medical costs under the current medical payment system and wage rates in China. Methodology: Prospective surveillance of craniocerebral surgery was conducted between July 2009 and June 2012. SSI patients and non-SSI patients were matched with a ratio of 1:2. Terms such as medical costs and length of hospital stay were compared between the two groups. Based on the economic loss of hospital infection, whic

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Lopes, Catia, Annibal Scavarda, Mauricio de Carvalho, Guilherme Vaccaro, and André Korzenowski. "Analysis of Sustainability in Hospital Laundry: The Social, Environmental, and Economic (Cost) Risks." Resources 8, no. 1 (2019): 37. http://dx.doi.org/10.3390/resources8010037.

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Personal and physical injuries are two of the most relevant costs to hospitals. Hospital laundries are sources of these costs due to the physical and health risks present in the clothes and the activities performed. Energy and environmental risk and infrastructure issues also incur operational costs to these organizations and to the health system. This research analyzes the social, environmental, and economic risk in the hospital laundry process, through a multiple-case-study design. Data collection methods include interviews regarding three hospital laundry services in Brazil. The processes o

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Poole, Barbara, Shawn Robinson, and Murray MacKinnon. "Resource Intensity Weights™ and Canadian Hospital Costs: Some Preliminary Data." Healthcare Management Forum 11, no. 1 (1998): 22–26. http://dx.doi.org/10.1016/s0840-4704(10)61000-9.

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Different types of inpatients “consume” differing amounts of hospital resources, and it is important to be able to measure these differences in resource consumption, An equitable methodology for funding hospitals must take into account differences in case mix between facilities. An ability to examine these differences in case mix and resource utilization allows hospitals to focus efforts to improve efficiency. A standardized methodology for measuring resource consumption is critical to funding and resource allocation both at a global and organizational level. This study was undertaken to deter

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Rasmussen, Maja K., Jane Clemensen, Gitte Zachariassen, et al. "Cost analysis of neonatal tele-homecare for preterm infants compared to hospital-based care." Journal of Telemedicine and Telecare 26, no. 7-8 (2019): 474–81. http://dx.doi.org/10.1177/1357633x19843753.

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Introduction Neonatal homecare (NH) can be used to provide parents the opportunity of bringing cardiopulmonary-stable preterm infants home for tube feeding and the establishment of breastfeeding supported by neonatal nurses visiting the home. However, home visits can be challenging for hospitals covering large regions, and, therefore, regular neonatal hospital care has remained the first choice in Denmark. As an alternative to home visits, telehealth may be used to deliver NH. Thus, neonatal tele-homecare (NTH) was developed. Positive infant outcomes and the optimization of family-centred care

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Isenberg, Sarina R., Chunhua Lu, John McQuade, et al. "Economic Evaluation of a Hospital-Based Palliative Care Program." Journal of Oncology Practice 13, no. 5 (2017): e408-e420. http://dx.doi.org/10.1200/jop.2016.018036.

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Purpose: Establish costs of an inpatient palliative care unit (PCU) and conduct a threshold analysis to estimate the maximum possible costs for the PCU to be considered cost effective. Methods: We used a hospital perspective to determine costs on the basis of claims from administrative data from Johns Hopkins PCU between March 2013 and March 2014. Using existing literature, we estimated the number of quality-adjusted life years (QALYs) that the PCU could generate. We conducted a threshold analysis to assess the maximum costs for the PCU to be considered cost effective, incorporating willingnes

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Diel, Roland, and Albert Nienhaus. "Cost–Benefit Analysis of Real-Time Influenza Testing for Patients in German Emergency Rooms." International Journal of Environmental Research and Public Health 16, no. 13 (2019): 2368. http://dx.doi.org/10.3390/ijerph16132368.

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Background: Seasonal influenza causes significant morbidity worldwide and has a substantial economic impact on the healthcare system. Objective: To assess the cost–benefit relation of implementing a real-time influenza test in emergency rooms (ER) of German hospitals. Methods: A deterministic decision-analytic model was developed simulating the incremental costs of using the Solana® Influenza A+B test, compared to those of using conventional clinical judgement alone to confirm or exclude influenza in adult ILI (influenza-like illness) patients, in German ER, prior to hospitalization. Direct co

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Borrelli, Eric, Zachary Babcock, and Stephen Kogut. "Costs of medical care for mesothelioma." Rare Tumors 11 (January 2019): 203636131986349. http://dx.doi.org/10.1177/2036361319863498.

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Malignant mesothelioma is a rare and devastating form of cancer with an increasing economic burden. We sought to describe the direct cost burden of mesothelioma to the US health system. A systematic literature review was performed to locate published estimates of the medical cost of mesothelioma. In addition, we performed an analysis of hospital discharge data from the National Inpatient Sample, Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality. We also reviewed publicly available legal settlements. We found that published estimates of the cost of medical care

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Merga, Melese, Tilahun Fufa Debela, and Tesfamichael Alaro. "Hidden Costs of Hospital-Based Delivery Among Women Using Public Hospitals in Bale Zone, Southeast Ethiopia." Journal of Primary Care & Community Health 10 (January 2019): 215013271989644. http://dx.doi.org/10.1177/2150132719896447.

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Background: The Ethiopian health care system since 2005 has encouraged safe enhanced obstetrical care. However, hospital delivery has remained expensive for poor households due to hidden costs. Hidden costs are the costs that are not accounted for in direct hospital costs. The aim of this study was to estimate the hidden costs of institutional delivery and to identify its associated factors. Methods: A health facility–based cross-sectional study was conducted in the Bale zone from August 13 to September 2, 2018. Exit interviews were conducted among women who gave birth at the selected hospital

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Althumairi, Azah A., Joseph K. Canner, Michael A. Gorin, et al. "Reduction of Costs for Pelvic Exenteration Performed by High Volume Surgeons: Analysis of the Maryland Health Service Cost Review Commission Database." American Surgeon 82, no. 1 (2016): 46–52. http://dx.doi.org/10.1177/000313481608200123.

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High volume hospitals (HVHs) and high volume surgeons (HVSs) have better outcomes after complex procedures, but the association between surgeon and hospital volumes and patient outcomes is not completely understood. Our aim was to evaluate the impact of surgeon and hospital volumes, and their interaction, on postoperative outcomes and costs in patients undergoing pelvic exenteration (PE) in the state of Maryland. A review of the Maryland Health Services Cost Review Commission database between 2000 and 2011 was performed. Patients were compared for demographics and clinical variables. The diffe

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Hadning, Ingenida, Zullies Ikawati, and Tri Murti Andayani. "Stroke Treatment Cost Analysis for Consideration on Health Cost Determination Using INA- CBGs at Jogja Hospital." International Journal of Public Health Science (IJPHS) 4, no. 4 (2015): 288. http://dx.doi.org/10.11591/ijphs.v4i4.4748.

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Indonesian Case Based Groups (INA-CBGs) implementation on hospital financing for stroke patient using Jaminan Kesehatan Masyarakat (Jamkesmas) at 3rd class hospitalization requires therapy plan management and cost analysis because stroke is a leading cause of death worldwide and need high treatment cost. It is purposed to skimp the hospital expenditure and avoid deficit suffering. The study objectives was to determine the suitability cost between real stroke treatment cost and health financing based on INA-CBGs, and to determine the highest cost component on stroke treatment at Jogja hospital.

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Hadning, Ingenida, Zullies Ikawati, and Tri Murti Andayani. "Stroke Treatment Cost Analysis for Consideration on Health Cost Determination Using INA- CBGs at Jogja Hospital." International Journal of Public Health Science (IJPHS) 4, no. 4 (2015): 288. http://dx.doi.org/10.11591/.v4i4.4748.

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Indonesian Case Based Groups (INA-CBGs) implementation on hospital financing for stroke patient using Jaminan Kesehatan Masyarakat (Jamkesmas) at 3rd class hospitalization requires therapy plan management and cost analysis because stroke is a leading cause of death worldwide and need high treatment cost. It is purposed to skimp the hospital expenditure and avoid deficit suffering. The study objectives was to determine the suitability cost between real stroke treatment cost and health financing based on INA-CBGs, and to determine the highest cost component on stroke treatment at Jogja hospital.

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Alemozaffar, Mehrdad, Steven Lee Chang, Ravi Kacker, Maryellen Sun, William C. DeWolf, and Andrew Wagner. "Cost comparison of robotic, laparoscopic, and open partial nephrectomy." Journal of Clinical Oncology 30, no. 5_suppl (2012): 394. http://dx.doi.org/10.1200/jco.2012.30.5_suppl.394.

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394 Background: Laparoscopic and robotic partial nephrectomy (LPN and RPN) are increasingly common minimally invasive alternatives to open partial nephrectomy (OPN) for management of renal tumors. The cost discrepancies of these approaches warrants evaluation. We compared hospital costs associated with RPN, LPN, and OPN. Methods: Variable hospital costs including operating room (OR) time, supplies, anesthesia, inpatient care, radiology, pharmacy, and laboratory charges were captured for 25 patients who underwent OPN, LPN, and RPN at our institution between 11/2008 -9/2010. Fixed costs of acqui

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Saxton, Anthony T., Manisha Bhattacharya, Nestory Masalu, Henry E. Rice, and Kristin Schroeder. "Cost-Effectiveness of Pediatric Cancer Treatment in Tanzania: An Economic Analysis." Journal of Global Oncology 3, no. 2_suppl (2017): 33s. http://dx.doi.org/10.1200/jgo.2017.009480.

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Abstract 52 Background: Despite the high burden of pediatric cancer in low- and middle-income countries, the number of facilities at which children can obtain treatment remains distressingly low. Understanding the costs and economic value of pediatric cancer treatment may assist policy makers to maximize the value of investments in health with informed resource allocation decisions. We examined the direct and indirect costs, cost-effectiveness, and societal economic benefit of diagnosing and treating children with cancer in Tanzania at the Bugando Medical Center, one of only two hospitals in t

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Kyeremanteng, Kwadwo, Louis-Philippe Gagnon, Raphaëlle Robidoux, et al. "Cost Analysis of Noninvasive Helmet Ventilation Compared with Use of Noninvasive Face Mask in ARDS." Canadian Respiratory Journal 2018 (2018): 1–5. http://dx.doi.org/10.1155/2018/6518572.

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Intensive care unit (ICU) costs have doubled since 2000, totalling 108 billion dollars per year. Acute respiratory distress syndrome (ARDS) has a prevalence of 10.4% and a 28-day mortality of 34.8%. Noninvasive ventilation (NIV) is used in up to 30% of cases. A recent randomized controlled trial by Patel et al. (2016) showed lower intubation rates and 90-day mortality when comparing helmet to face mask NIV in ARDS. The population in the Patel et al. trial was used for cost analysis in this study. Projections of cost savings showed a decrease in ICU costs by $2527 and hospital costs by $3103 pe

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Cheung, Mathew, Laurie Morrison, and P. Richard Verbeek. "Prehospital vs. emergency department pronouncement of death: a cost analysis." CJEM 3, no. 01 (2001): 19–25. http://dx.doi.org/10.1017/s1481803500005108.

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ABSTRACT Objective: National survival rates for out-of-hospital cardiac arrests are less than 5%, and substantial resources are associated with transporting cardiac arrest victims to hospital for emergency department (ED) resuscitation. The low overall survival rate and the identification of predictors of unsuccessful resuscitation have opened debate on the “futility” of transporting such patients to the ED. This study compares the costs of prehospital pronouncement of death to the costs of transporting patients to a hospital ED for physician pronouncement. Methods: The study was a retrospecti

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Dempsey, James, Nick Hynes, Teresa Smith, and Janet E. Sproat. "Cost Effectiveness Analysis of Hyperbaric Therapy in Osteoradionecrosis." Canadian Journal of Plastic Surgery 5, no. 4 (1997): 221–29. http://dx.doi.org/10.1177/229255039700500401.

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In this time of fiscal restraint it is important to consider the costs and effectiveness of the treatments used whenever more than one treatment option is available. This paper presents an economic evaluation undertaken from a societal perspective to determine the cost effectiveness of using a modified hyperbaric oxygen (HBO) protocol to treat osteoradionecrosis of the mandible. Costs for the study group were obtained froma retrospective study of 21 patients who underwent a modified HBO protocol at the Hamilton Civic Hospitals, Hamilton, Ontario – a tertiary centre. A hypothetical control grou

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Teymourzadeh, Ehsan, Mohammadkarim Bahadori, Mohammad Meskarpour-Amiri, Javad Khoshmanzar, and Sayyed-Morteza Hosseini-Shokouh. "Economic Performance Analysis of Selected Military Hospitals Using Hospital Indicators and Inpatient Bed-Day Cost." Hospital Practices and Research 4, no. 1 (2019): 31–38. http://dx.doi.org/10.15171/hpr.2019.05.

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Background: Hospitals, the main providers of healthcare services, are costly centers which account for about 80% of the health sector budget and have a huge share of resources. Objective: This study aimed to analyze the economic performance of selected military hospitals in Tehran using hospital indicators and inpatient bed-day costs. Methods: This descriptive, cross-sectional, retrospective study conducted in hospitals affiliated with a military medical university. Data was collected with forms completed by referring to the hospitals’ finance and accounting, medical records, staffing, and log

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Langabeer, James R., Tiffany Champagne-Langabeer, Diaa Alqusairi, et al. "Cost–benefit analysis of telehealth in pre-hospital care." Journal of Telemedicine and Telecare 23, no. 8 (2016): 747–51. http://dx.doi.org/10.1177/1357633x16680541.

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Objective There has been very little use of telehealth in pre-hospital emergency medical services (EMS), yet the potential exists for this technology to transform the current delivery model. In this study, we explore the costs and benefits of one large telehealth EMS initiative. Methods Using a case-control study design and both micro- and gross-costing data from the Houston Fire Department EMS electronic patient care record system, we conducted a cost–benefit analysis (CBA) comparing costs with potential savings associated with patients treated through a telehealth-enabled intervention. The i

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Graham, Alison M., Paul S. Myles, Kate Leslie, et al. "A Cost-Benefit Analysis of the ENIGMA Trial." Anesthesiology 115, no. 2 (2011): 265–72. http://dx.doi.org/10.1097/aln.0b013e31821f659c.

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Background The ENIGMA trial was a prospective, randomized, multicenter study that evaluated the clinical consequences of including N₂O in general anesthesia. Patients who were given a N₂O-free anesthetic when undergoing major surgery for which the expected hospital stay was at least 3 days had lower rates of some postoperative complications. This suggests that, despite a higher consumption of potent inhalational agent, there could be a financial benefit when N₂O is avoided in such settings. Methods A retrospective cost analysis of the 2,050 patients recruited to the ENIGMA trial was performed.

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Neumann, Katerina, Nirmal Randhawa, Jason Park, and David J. Hochman. "Cost Analysis of Laparoscopic Low Anterior Resection vs. Transanal Endoscopic Microsurgery for Rectal Neoplasms." Current Oncology 28, no. 3 (2021): 1795–802. http://dx.doi.org/10.3390/curroncol28030167.

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Despite the increasing application of transanal endoscopic microsurgery (TEM) for rectal lesions, the cost of the equipment may play a role in a hospital’s hesitancy to invest in the platform. This study compares the cost of TEM to laparoscopic low anterior resection (LAR). Patients who underwent laparoscopic LAR (n = 24) for rectal neoplasm between 2006 and 2014 were case-matched based on sex, age, comorbidities, lesion size and location to patients who underwent TEM at a busy secondary care urban hospital. Procedure-related costs and costs associated with readmissions for complications and r

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Tediosi, F., G. Bertolini, F. Parazzini, G. Mecca, and L. Garattini. "Cost Analysis of Dialysis Modalities in Italy." Health Services Management Research 14, no. 1 (2001): 9–17. http://dx.doi.org/10.1177/095148480101400102.

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This study analyses management and costs of dialysis in the Italian National Health Service (NHS). Information on efficacy and health-related quality of life (HRQOL) based on the existing literature also is presented. The clinical differences between the dialysis modalities seem to be related to their appropriateness to specific patient groups. Efficacy rates are similar and the only differences are in complications and HRQOL. Traditional haemodialysis (THD) can be done by Italian patients in dialysis centres or in hospital. High-flux haemodialysis (HFHD) is generally only done in hospital. Pe

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Tediosi, F., G. Bertolini, F. Parazzini, G. Mecca, and L. Garattini. "Cost analysis of dialysis modalities in Italy." Health Services Management Research 14, no. 1 (2001): 9–17. http://dx.doi.org/10.1258/0951484011912483.

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This study analyses management and costs of dialysis in the Italian National Health Service (NHS). Information on efficacy and health-related quality of life (HRQOL) based on the existing literature also is presented. The clinical differences between the dialysis modalities seem to be related to their appropriateness to specific patient groups. Efficacy rates are similar and the only differences are in complications and HRQOL. Traditional haemodialysis (THD) can be done by Italian patients in dialysis centres or in hospital. High-flux haemodialysis (HFHD) is generally only done in hospital. Pe

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Wardhani, Anjari Wahyu, Chriswardani Suryawati, and Puji Harto. "Cost awareness analysis on acute appendicitis treatment with BPJS Healthcare at Budi Kemuliaan Hospital, Batam." GHMJ (Global Health Management Journal) 3, no. 2 (2019): 64. http://dx.doi.org/10.35898/ghmj-32294.

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Background: Financial costs are recognized as one of the causes of lack access to adequate health services, not least in the treatment of Acute Appendicitis with BPJS Healthcare in Budi Kemuliaan Hospital, Batam. Data describing health workers' awareness of costs is still limited. Increasing awareness of health workers can encourage to increase treatment efficacy and reduce wasteful spending costs. Aims: This study objective was to analyze the cost awareness of health workers' in the efficiency of Acute Appendicitis treatment. Methods: This research was a qualitative descriptive study accompan

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Kaming, Peter F., and Juli Marliansyah. "Implementation of Life Cycle Costing: A Case of Hostel Building in Kediri, Eastern Jawa, Indonesia." Applied Mechanics and Materials 845 (July 2016): 326–31. http://dx.doi.org/10.4028/www.scientific.net/amm.845.326.

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Analysis of the life cycle cost of a design process that is important in controlling the initial costs and future costs in possession of an investment project. Therefore, there should be a life cycle cost analysis study to determine the cost of any category contained in the hostel building project in the area of Islamic Hospital jimbunmedika Kediri and also see how much the total cost incurred by a development project in the area of hospital hostel Islam jimbunmedika Kediri ranging from the design stage to the technical life of hostels set .The purpose of this study is, identify the service li

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Borsa, Joan, and Aslam Anis. "The Cost of Hospital Care in Canada: A Comparison of Two Alternatives." Healthcare Management Forum 18, no. 1 (2005): 19–27. http://dx.doi.org/10.1016/s0840-4704(10)60300-6.

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This article compares resource intensity weight costs with case costs for selected patient groups at St. Paul's Hospital, British Columbia. Analysis found that average case costs for surgical patients were 23.9% higher than their resource intensity weight costs, whereas case costs for non-surgical patients were 14.8% lower. Average case costs for patients receiving surgical implants were 32.8% higher than resource intensity weight costs. For patients receiving internal defibrillators average case costs were three times higher.

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Skedgel, Chris, Jo-Ann Edwards, Jean Roy, et al. "A Prospective Cost Analysis of Non-Myeloablative Hematopoietic Stem Cell Transplantation." Blood 106, no. 11 (2005): 2239. http://dx.doi.org/10.1182/blood.v106.11.2239.2239.

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Abstract Hematopoietic stem cell transplantation (HSCT) is an intensive medical therapy used to treat both malignant and non-malignant conditions. Non-myeloablative transplantation (NMT) is an emerging transplant modality often performed on an outpatient basis. While NMT is associated with fewer acute complications compared to myeloablative HSCT, long-term complications, particularly chronic graft vs host disease (GvHD), are of concern. To our knowledge, there have been few economic evaluations of NMT and none in a Canadian healthcare environment. We prospectively developed and validated a pro

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Glandon, Gerald L., and Michael A. Counte. "An Analysis of the Adoption of Managerial Innovation: Cost Accounting Systems in Hospitals." Health Services Management Research 8, no. 4 (1995): 243–51. http://dx.doi.org/10.1177/095148489500800404.

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The adoption of new medical technologies has received significant attention in the hospital industry, in part, because of its observed relation to hospital cost increases. However, few comprehensive studies exist regarding the adoption of non-medical technologies in the hospital setting. This paper develops and tests a model of the adoption of a managerial innovation, new to the hospital industry, that of cost accounting systems based upon standard costs. The conceptual model hypothesizes that four organizational context factors (size, complexity, ownership and slack resources) and two environ

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Diel, Roland, and Albert Nienhaus. "Rapid Point-of-Care Influenza Testing for Patients in German Emergency Rooms – A Cost-Benefit Analysis." Journal of Health Economics and Outcomes Research 6, no. 3 (2019): 203–12. http://dx.doi.org/10.36469/001c.11206.

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Background: Each year, influenza causes significant morbidity and death worldwide and produces significant economic losses at the expense of the healthcare system. Objective: To assess the cost-benefit relationship of implementing a rapid point-of-care (POC) influenza test in emergency rooms (ERs) of German hospitals. Methods: A deterministic decision-analytic model simulated the incremental costs of using the Sofia® Influenza A+B test compared to those of using clinical judgement alone to confirm or exclude influenza in adult ILI (influenza-like illness) patients in German ERs prior to hospit

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Hulme, Claire. "Using Cost Effectiveness Analysis; a Beginners Guide." Evidence Based Library and Information Practice 1, no. 4 (2006): 17. http://dx.doi.org/10.18438/b81s34.

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Objective - To describe the key elements of cost effectiveness analysis (CEA) and demonstrate how such analysis may be used in the library environment.  Methods - The paper uses a step by step approach to walk the (non-economist) reader through the basics of conducting a cost effectiveness study. The key elements of a CEA are outlined using examples that illustrate how the analysis may be carried out in the library sector. A case study of a CEA in a hospital library is presented. The case study compares two library services, mediated searching and information skills training, to il

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Neyt, Mattias J., Johan A. Albrecht, Bart Clarysse, and Véronique F. Cocquyt. "Cost-effectiveness of Herceptin®: A standard cost model for breast-cancer treatment in a Belgian university hospital." International Journal of Technology Assessment in Health Care 21, no. 1 (2005): 132–37. http://dx.doi.org/10.1017/s0266462305050178.

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Objectives: The objective of this study was to conduct a cost-effectiveness analysis of Herceptin® from the hospital's point of view. This new biotechnological pharmaceutical is a humanized monoclonal antibody that targets the HER2 receptor, an important anti-cancer target.Methods: A cost model with standard diagnostic and treatment options for breast cancer was set up for a Belgian university hospital in close collaboration with its specialists. Direct and indirect costs were calculated for each diagnostic and treatment option using the micro-costing method. Effectiveness was estimated throug

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İndelen, Cenk, Yeşim Uygun Kızmaz, Ahmet Kar, Aryeh Shander, and Kaan Kırali. "The cost of one unit blood transfusion components and cost-effectiveness analysis results of transfusion improvement program." Turkish Journal of Thoracic and Cardiovascular Surgery 29, no. 2 (2021): 150–57. http://dx.doi.org/10.5606/tgkdc.dergisi.2021.20886.

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Background: This study aims to analyze the cost of the entire transfusion process in Turkey including evaluation of the cost of transfusion from the perspective of hospital management and determination of savings achieved with the transfusion improvement program. Methods: Invoices, labor, material costs were calculated with micro-costing method, while general production expenses were calculated with gross costing method between January 2018 and December 2019. Unit costs for each blood product were calculated separately by collecting unit acquisition costs, material costs, labor costs, and gene

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