Determining the Cost and Length of Stay at Intensive Care Units and the Factors Influencing Them in a Teaching Hospital in Malaysia
| Autor: | Amrizal Muhammad Nur, Syed Mohamed Aljunid, Aniza Ismail, Yin Nwe Aung |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty health care facilities manpower and services Economics Econometrics and Finance (miscellaneous) law.invention Teaching hospital 03 medical and health sciences 0302 clinical medicine law Intensive care Health care Humans Medicine 030212 general & internal medicine Hospitals Teaching Pharmacology Toxicology and Pharmaceutics (miscellaneous) Average cost Aged Pediatric intensive care unit business.industry 030503 health policy & services Health Policy Malaysia Health Care Costs Length of Stay Middle Aged Intensive care unit Confidence interval Intensive Care Units Cross-Sectional Studies Emergency medicine Female 0305 other medical science business Developed country |
| Zdroj: | Value in Health Regional Issues. 21:149-156 |
| ISSN: | 2212-1099 |
| Popis: | Objectives Escalating healthcare costs calls for the efficiency of health services, especially in the intensive care unit (ICU) where the bulk of resources are used. This study aims to identify the length of stay (LOS) and cost of care at ICUs, which are proxy indicators of efficiency and the factors determining them. Methods A cross-sectional study of patients requiring ICU admissions in a teaching hospital in Malaysia from 2013 to 2015 was conducted. The cost at the ICU was estimated using the step down approach. Factors that determined the cost and LOS at the ICU were also explored by using multivariate regression analysis. Results Each day of stay cost $427 (USD) at the pediatric intensive care unit and $1324 at the general intensive care unit. The mean LOS at the ICU was 5.7 days (standard deviation [SD]: 8.4) with a median of 4 days (95% confidence interval [CI] 1-16.7 days). Average cost of care at the ICU per episode of care was $5473 (SD $6499), and the median was $3463. ICU patients spent 29.3% of the total stay and 47.2% of the cost at ICU units. Upon multivariate regression analysis, severity, case base-group, and type of ICU that the patient was admitted to were associated with the cost and LOS at ICU. Conclusions Compared with critical care practices in hospitals from more developed nations, a Malaysian teaching hospital required a longer length of ICU stay. Hence, implementations of strategies that can reduce the length of stay and hospital costs without compromising healthcare quality are required. |
| Databáze: | OpenAIRE |
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