Costs of hospitalization for severe acute asthma of patients not treated according to guidelines and recommendations

Autor: Thérèse Lebrun, X. Lenne, Jean-Claude Sailly, Caroline Bercez, Isabelle Tillie-Leblond, Antoine-Bernard Tonnel
Přispěvatelé: UMR CNRS 8179, Université de Lille, Sciences et Technologies-Centre National de la Recherche Scientifique (CNRS), Legrand, Annette
Rok vydání: 2005
Předmět:
Adult
Male
medicine.medical_specialty
medicine.medical_treatment
Status Asthmaticus
Economics
Econometrics and Finance (miscellaneous)
MEDLINE
[SDV.MHEP.PSR]Life Sciences [q-bio]/Human health and pathology/Pulmonology and respiratory tract
Young Adult
Ambulatory care
Ambulatory Care
Humans
Medicine
Prospective Studies
Young adult
[SHS.ECO] Humanities and Social Sciences/Economics and Finance
Prospective cohort study
Health economics
business.industry
Health Policy
Public health
Health Care Costs
Middle Aged
[SHS.ECO]Humanities and Social Sciences/Economics and Finance
Hospitalization
Social Class
[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie
Practice Guidelines as Topic
Emergency medicine
Ambulatory
Costs and Cost Analysis
[SDV.MHEP.PSR] Life Sciences [q-bio]/Human health and pathology/Pulmonology and respiratory tract
Smoking cessation
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
Female
France
Guideline Adherence
business
Zdroj: The European Journal of Health Economics
The European Journal of Health Economics, 2005, 6 ((2)), pp.94-101
ISSN: 1618-7601
1618-7598
DOI: 10.1007/s10198-005-0277-2
Popis: This prospective study of 169 adult patients hospitalized for severe acute asthma in four pneumology wards compared the incidence and costs of patients who were managed (group A) or not managed (group P) before hospitalization, according to the guidelines and international recommendations (11 criteria judged by experts). Ambulatory costs were calculated by questioning patients. Valuation of hospital costs was based DRGs weighted by length of stay. The incidence in group P patients was estimated at 70%; A patients were 14 years younger than those in group P and had less severe asthma. Their annual ambulatory care prior to hospitalization was less costly irrespective of age category or degree of severity (euro 685 vs. euro 1,145 in group A); their length of hospital stay was shorter (6.03 vs. 10.78 days), resulting in a lower cost of hospitalization (euro 2,820 vs. euro 4,843). In group P a specific education program based on increased understanding, compliance, self-management, and smoking cessation, particularly in young patients should lead to reductions in hospitalizations.
Databáze: OpenAIRE
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