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  1. A review of cost studies of intensive care units : problems with the cost concept.

    Article - En anglais


    To study methods for costing hospital services, specifically in relation to multiunit studies of activity, case mix, severity of illness, outcome, and resource use in adult intensive care units (ICUs).

    Data Sources 

    Twenty published cost studies of adult ICUs.

    The studies are all published in English and are both European and American.

    Study Selection 

    Cost studies of adult ICUs published in international journals (English language).

    Data Extraction 

    Literature survey, where the articles were obtained through MEDLINE and other database searches.

    Data Synthesis 

    Cost of intensive care therapy was compared across the 20 studies.

    However, as stressed in the article, to compare costs of intensive care therapy across units is not possible for a number of reasons.

    One of the reasons for this limitation is that the studies employed different approaches to costing and thereby introduced a methodologic bias.

    In addition, the costing methodology applied in the majority of the studies was wrongly specified in relation to the purpose and viewpoint of the studies.


    The methodologies for costing ICU therapy are flawed and fail to provide correct answers.

    In most studies, the study question is not adequately specified and the cost concept used in the studies is not tailored to the purposes of the study.

    Standardizing the cost model would lead to better, faster, and more reliable costing.

    Mots-clés Pascal : Soin intensif, Coût, Estimation paramètre, Economie santé, Homme, Etats Unis, Amérique du Nord, Amérique, Coût exploitation, Unité soin intensif

    Mots-clés Pascal anglais : Intensive care, Costs, Parameter estimation, Health economy, Human, United States, North America, America, Operating cost, Intensive care unit

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0342903

    Code Inist : 002B27B15. Création : 01/03/1996.