Why do patients having coronary artery bypass grafts have different costs or length of stay? An analysis across 10 European countries.
Health Econ
; 21 Suppl 2: 77-88, 2012 Aug.
Article
en En
| MEDLINE
| ID: mdl-22815114
ABSTRACT
We analyse variations in cost or length of stay (LoS) for 66,587 patients from 10 European countries receiving a coronary artery bypass graft (CABG) procedure. In five of these countries, variations in cost are analysed using log-linear models. In the other five countries, negative binomial regression models are used to explore variations in LoS. We compare how well each country's diagnosis-related group (DRG) system and a set of patient-level characteristics explain these variations. The most important explanatory factors are the total number of diagnoses and procedures, although no clear effects are evident for our CABG-specific diagnostic and procedural variables. Wound infections significantly increase LoS and costs in most countries. There is no evidence that countries using larger numbers of DRGs to group CABG patients are better at explaining variations in cost or LoS. However, refinements to the construction of DRGs to group CABG patients might recognise first and subsequent CABGs or other specific surgical procedures, such as multiple valve repair.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Puente de Arteria Coronaria
/
Grupos Diagnósticos Relacionados
/
Costos de Hospital
/
Tiempo de Internación
Tipo de estudio:
Health_economic_evaluation
/
Prognostic_studies
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
Health Econ
Asunto de la revista:
SERVICOS DE SAUDE
Año:
2012
Tipo del documento:
Article
País de afiliación:
Reino Unido