Critical care medicine in the United States 1985–2000: An analysis of bed numbers, use, and costs*

Halpern, Neil A.; Pastores, Stephen M.; Greenstein, Robert J.

doi:10.1097/01.ccm.0000128577.31689.4c

Cited by 402 publications

(239 citation statements)

References 13 publications

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“…For example, in the USA in 2000, critical care was reported to cost $55.5 billion, which represented 13.3% of hospital costs, 4.2% of national health expenditure and 0.56% of the gross domestic product [1]. While intensive care may be costly, it may still represent good value for money due to the lives it is thought to save.…”

mentioning

confidence: 99%

Cost effectiveness of adult intensive care in the UK

Ridley

Morris

2007

Anaesthesia

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SummaryWe wished to investigate whether intensive care represents good value for money to the National Health Service in the UK using cost-effectiveness analysis. We developed a cost-effectiveness model using secondary data sources to estimate the incremental cost per quality adjusted life year gained of treatment in intensive care vs non-intensive care treatment in adults. Estimates of hospital mortality with and without intensive care were obtained from seven published studies and from data published by the Intensive Care National Audit and Research Centre. Quality of life estimates were obtained from a literature review and NHS reference costs were used. Relative to nonintensive care treatment, the incremental cost per quality adjusted life year gained of treatment in intensive care is £7010. This figure is sensitive to the mortality risk reduction associated with intensive care. Despite the high daily cost of intensive care, its cost-effectiveness is excellent and compares favourably with other commonly used health interventions. Our findings suggest that adult intensive care represents good value for money.

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confidence: 99%

Cost effectiveness of adult intensive care in the UK

Ridley

Morris

2007

Anaesthesia

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“…In fact, a large proportion of these expenditures are attributable to care delivered in an ICU. 36 In an effort to address these issues, policy experts have called for 34,35 a fundamental reordering of health priorities toward therapies known to be costeffective. Although a necessary first step, prioritizing cost-effective therapies may not lead to improved health unless there is a concomitant effort to improve adherence to such therapies.…”

Section: Discussionmentioning

confidence: 99%

Cost-effectiveness of Implementing Low-Tidal Volume Ventilation in Patients With Acute Lung Injury

Cooke

Kahn

Watkins

et al. 2009

Chest

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“…It is estimated that ICU costs represent 1% of GDP. [1] In terms of hospital cost, it approaches 13%. [1] It is reasonable to perceive that these costs will go up in the future.…”

Section: Introductionmentioning

confidence: 99%

“…[1] In terms of hospital cost, it approaches 13%. [1] It is reasonable to perceive that these costs will go up in the future. Our population is aging and our abilities to sustain life are constantly improving.…”

Section: Introductionmentioning

confidence: 99%

Guide to strategic planning in critical care medicine

Kyeremanteng

D’Egidio

2015

JHA

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Strategic planning is increasing in value. More organizations are implementing such strategies to help achieve their corporate goals. Strategic planning can help improve morale and satisfaction amongst staff, managers and stakeholders. It can help improve efficiency within the organization and ideally the quality of care as well. Most importantly, it helps an organization to focus and prioritize its goals therefore increasing its chances for success. Critical care medicine is a unique branch of medicine because of the high costs associated with care. It is reasonable to perceive that these costs will go up in the future. Our population is aging and our abilities to sustain life are constantly improving. ICU is also unique because it is associated with high stress for the patients, families, nurses, physicians and allied health professionals. Care is often associated with post-traumatic stress and burnout. For these reasons strategic planning is essential for critical care to thrive, provide good care for patients and to allow for efficient use of resources. There are several approaches to strategic planning. This article will look at the 10-step method described in Bryson's Strategic Planning for Public and Non-Profit Organizations and how it can apply to critical care medicine.

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Critical care medicine in the United States 1985–2000: An analysis of bed numbers, use, and costs*

Abstract: CCM is increasingly used and prominent in a shrinking U.S. hospital system. CCM occupancy is lower than expected. Despite its increasing use and cost, CCM is using proportionally less of national health expenses and the gross domestic product than previously estimated.

Cited by 402 publications

References 13 publications

Cost effectiveness of adult intensive care in the UK

Cost effectiveness of adult intensive care in the UK

Cost-effectiveness of Implementing Low-Tidal Volume Ventilation in Patients With Acute Lung Injury

Guide to strategic planning in critical care medicine

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