The aim of the study was to assess and compare the hospitalisation costs of stroke in different hospital structures in Italy. Long run marginal costs were calculated in eleven hospital structures by using a top-down approach. Cost values were derived from the accounting of the structures. Time horizon was one year and referred to 1998. The NHS perspective was assumed. Three different hospital structures participated into the study: 2 Stroke Units, 4 Neurology Wards and 4 Mediicne Wards scattered across the country. On average the hospitalisation cost was ITL 10,100,000 per patient admitted to Stroke Units, more than ITL 4,200,000 in Neurology wards and nearly ITL 3,000,000 in Medicine wards. Medical and non-medical staff represented on average 50% of total costs in the three models. Hospitalisation costs largely depend upon personnel and equipment. The top-down approach appears to be a valid method to evaluate costs, but it becomes meaningless if the final aim is that of analysing the real consumption of healthcare resources by specific class of patients. For that purpose adjustments need to be made by the use of ad hoc research protocol to investigate patients' clinical pathways.
I costi ospedalieri dell'ictus in Italia: un confronto tra diversi modelli di cura
GERZELI, SIMONE ANTONIO;TARRICONE, ROSANNA
2001
Abstract
The aim of the study was to assess and compare the hospitalisation costs of stroke in different hospital structures in Italy. Long run marginal costs were calculated in eleven hospital structures by using a top-down approach. Cost values were derived from the accounting of the structures. Time horizon was one year and referred to 1998. The NHS perspective was assumed. Three different hospital structures participated into the study: 2 Stroke Units, 4 Neurology Wards and 4 Mediicne Wards scattered across the country. On average the hospitalisation cost was ITL 10,100,000 per patient admitted to Stroke Units, more than ITL 4,200,000 in Neurology wards and nearly ITL 3,000,000 in Medicine wards. Medical and non-medical staff represented on average 50% of total costs in the three models. Hospitalisation costs largely depend upon personnel and equipment. The top-down approach appears to be a valid method to evaluate costs, but it becomes meaningless if the final aim is that of analysing the real consumption of healthcare resources by specific class of patients. For that purpose adjustments need to be made by the use of ad hoc research protocol to investigate patients' clinical pathways.
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