[Daily survey of procedures as markers of resources utilization]. / Rilevazione giornaliera di procedure come tracciante dell'utilizzo di risorse.
Minerva Anestesiol
; 62(9): 289-96, 1996 Sep.
Article
em It
| MEDLINE
| ID: mdl-9072711
ABSTRACT
OBJECTIVE:
To assess and to follow along the time-span of ICU stay the process of resources allocation and utilization.DESIGN:
Prospective study. PATIENTS A cohort of 778 patients consecutively admitted to 7 multipurpose general ICU in the Milano area were enrolled in a survey of the daily performed interventions/procedures. MEASUREMENTS AND MAINRESULTS:
The majority of diagnostic procedure/interventions were performed during the first two days. The number and quality of interventions were transferred into points obtaining a score system in non-monetary units. The resource allocation process shows a regular trend in the sub-intensive patients who were only monitorized. On the contrary the 258 patients who were intensively treated and survived show a phase of high resource-consumption (about 30 daily points roughly twice the score of monitorized patients) then followed by a post-intensive phase with a resource consumption resulting in a daily score absolutely equal to the sub-intensive patients. The intensive patients who die show a significantly higher score than survived patients. Both daily and cumulative scores do not show differences among different type of patients.CONCLUSION:
The evaluation of the process of resources allocation, even if in non-monetary units enables the knowledge of the trend of ICU costs and allows the elaboration of the appropriate budget mechanism.
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Base de dados:
MEDLINE
Assunto principal:
Pesquisas sobre Atenção à Saúde
/
Recursos em Saúde
/
Unidades de Terapia Intensiva
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
It
Revista:
Minerva Anestesiol
Ano de publicação:
1996
Tipo de documento:
Article