Staff costs of hospital-based outpatient care of patients with cystic fibrosis
- 8.7k Downloads
This study identified per patient resource use and staff costs at a cystic fibrosis (CF) outpatient unit from the health care provider's perspective.
Personnel cost data were prospectively collected for all CF outpatients (n = 126) under routine conditions at the Charité Medical School Berlin in Germany over a six month study period. Patients were grouped according to age, sex and two severity categories. Ordinary least squares regression analysis was performed to determine the impact of various independent variables on personnel costs.
The mean staff costs were €142.3 per patient over six months of outpatient service. Services provided by physicians were the biggest contributor to staff costs. Patient age correlated significantly and negatively with mean total costs per patient.
Age of patient is a significant determinant of staff costs for CF outpatient care. For a cost-covering remuneration of outpatient treatment it seems plausible to create separate reimbursement rates for two or three age groups and to consider additional costs due to tasks carried out by physicians without direct patient contact. The relatively low staff costs identified by our study reflect a staffing level not sufficient for specialist CF outpatient care.
KeywordsCystic fibrosis outpatient service cost analysis micro-costing activity-based costing respiratory tract colonization lung function testing analysis of variance multivariate analysis
We are grateful to Thomas Haustein and John Watson for critical reading of the manuscript, and we are indebted to Udo Buchholz for statistical advice.
- 5.Cystic Fibrosis Foundation: Cystic Fibrosis Patient Registry. Annual Data Report 2008. accessed 31.05.2010 . 2010. (GENERIC) Ref Type: Internet Communication [http://www.cff.org/UploadedFiles/research/ClinicalResearch/Patient-Registry-Report-2009.pdf]Google Scholar
- 7.Hexal - Mukoviszidose: Specialized outpatient clinics in Germany for the management of CF patients. [http://www.mukoviszidose.de/behandlung/muko.php?a=2.Website]
- 23.Eidt-Koch D, Wagner TO, Mittendorf T, Reimann A, der Schulenburg JM: Resource usage in outpatient care and reimbursement for cystic fibrosis in Germany. Pediatr Pulmonol 2010.Google Scholar
- 36.Balaguer A, Gonzalez dD: Home intravenous antibiotics for cystic fibrosis. Cochrane Database Syst Rev 2008, (3):CD001917.Google Scholar
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Open AccessThis article is distributed under the terms of the Creative Commons Attribution 2.0 International License (https://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.