Estudio retrospectivo de costos de tratamientos intensivos por paciente y día cama

Background: Intensive medicine is especially expensive and requires an efficient management. Aim: To measure the real costs of diseases treated in an intensive care unit and compare them with the costs assigned by the Chilean National Health Fund (FONASA) for 2008. Material and Methods: Retrospectiv...

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Autores principales:	ALVEAR V,SANDRA, CANTEROS G,JORGE, RODRÍGUEZ C,PATRICIA
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2010
Materias:	Costs and cost analysis Hospital costs Intensive care units
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000500005
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spelling	oai:scielo:S0034-988720100005000052010-07-12Estudio retrospectivo de costos de tratamientos intensivos por paciente y día camaALVEAR V,SANDRACANTEROS G,JORGERODRÍGUEZ C,PATRICIA Costs and cost analysis Hospital costs Intensive care units Background: Intensive medicine is especially expensive and requires an efficient management. Aim: To measure the real costs of diseases treated in an intensive care unit and compare them with the costs assigned by the Chilean National Health Fund (FONASA) for 2008. Material and Methods: Retrospective review of 225 patients, representing 82% of discharges from an intensive care unit during 2008. Patients were classified according to their medical conditions as having sepsis, trauma, cardiovascular, respiratory or neurological diseases. Costs were calculated using the cost per activity system. Results: Trauma, sepsis and cardiovascular diseases had the greatest cost per inpatient day, corresponding to 294,779; 253,513 and 244,713 Chilean pesos, respectively. Seventy percent of costs correspond to human resources followed by complementary examinations, that represent up to 15% of costs. Patients with sepsis and cardiovascular diseases absorbed 28 and 26% of intensive care unit resources, respectively. Patients who died with these diseases absorbed 35 and 16% of resources, respectively. Conclusions: All diseases studied had significantly higher costs than those assigned by the National Health Fund.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.138 n.5 20102010-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000500005es10.4067/S0034-98872010000500005
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Costs and cost analysis Hospital costs Intensive care units
spellingShingle	Costs and cost analysis Hospital costs Intensive care units ALVEAR V,SANDRA CANTEROS G,JORGE RODRÍGUEZ C,PATRICIA Estudio retrospectivo de costos de tratamientos intensivos por paciente y día cama
description	Background: Intensive medicine is especially expensive and requires an efficient management. Aim: To measure the real costs of diseases treated in an intensive care unit and compare them with the costs assigned by the Chilean National Health Fund (FONASA) for 2008. Material and Methods: Retrospective review of 225 patients, representing 82% of discharges from an intensive care unit during 2008. Patients were classified according to their medical conditions as having sepsis, trauma, cardiovascular, respiratory or neurological diseases. Costs were calculated using the cost per activity system. Results: Trauma, sepsis and cardiovascular diseases had the greatest cost per inpatient day, corresponding to 294,779; 253,513 and 244,713 Chilean pesos, respectively. Seventy percent of costs correspond to human resources followed by complementary examinations, that represent up to 15% of costs. Patients with sepsis and cardiovascular diseases absorbed 28 and 26% of intensive care unit resources, respectively. Patients who died with these diseases absorbed 35 and 16% of resources, respectively. Conclusions: All diseases studied had significantly higher costs than those assigned by the National Health Fund.
author	ALVEAR V,SANDRA CANTEROS G,JORGE RODRÍGUEZ C,PATRICIA
author_facet	ALVEAR V,SANDRA CANTEROS G,JORGE RODRÍGUEZ C,PATRICIA
author_sort	ALVEAR V,SANDRA
title	Estudio retrospectivo de costos de tratamientos intensivos por paciente y día cama
title_short	Estudio retrospectivo de costos de tratamientos intensivos por paciente y día cama
title_full	Estudio retrospectivo de costos de tratamientos intensivos por paciente y día cama
title_fullStr	Estudio retrospectivo de costos de tratamientos intensivos por paciente y día cama
title_full_unstemmed	Estudio retrospectivo de costos de tratamientos intensivos por paciente y día cama
title_sort	estudio retrospectivo de costos de tratamientos intensivos por paciente y día cama
publisher	Sociedad Médica de Santiago
publishDate	2010
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000500005
work_keys_str_mv	AT alvearvsandra estudioretrospectivodecostosdetratamientosintensivosporpacienteydiacama AT canterosgjorge estudioretrospectivodecostosdetratamientosintensivosporpacienteydiacama AT rodriguezcpatricia estudioretrospectivodecostosdetratamientosintensivosporpacienteydiacama
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Estudio retrospectivo de costos de tratamientos intensivos por paciente y día cama

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