Healthcare Quarterly
Abstract
Example of how factor influences cost: Typical patients aged 18 to 59 years treated in hospital for Parkinson's disease, on average, cost hospitals $4,603, compared to $8,397 for typical patients 80 years and older. The difference in costs may be due to similar conditions requiring different types of services and tests and the time needed to heal or recover from treatments.
Factor: Co-morbidity level (the number of illnesses a
patient has beyond the main reason for hospitalization)
Example of how factor influences cost: The hospitalization
cost of treating typical patients aged 60 to 79 years who had a
gallbladder removed was, on average, $3,234 for patients who had no
additional illnesses, compared to $4,900 for patients with other
illnesses.
Factor: Flagged intervention (specific "flagged"
procedures associated with higher resource consumption, such as
dialysis)
Example of how factor influences cost: For typical patients
aged 18 to 59 years with admissions involving pneumonia, the
average cost per case for those without a flagged intervention was
$3,056, versus $16,753 for those with two flagged
interventions.
Factor: Intervention events (the number of specified
intervention events that are performed in a single hospital
visit)
Example of how factor influences cost: When we compare
typical bypass surgery patients who had one intervention event to
those who had two during a single hospital admission, the average
hospitalization cost nearly doubled; that is, $11,561 compared to
$22,168.
Factor: Out-of-hospital (OOH) interventions (selective
interventions that are performed outside the treating/admitting
facility)
Example of how factor influences cost: For typical patients
aged 80 years and older who were admitted into hospital for a
pacemaker implantation or removal, undergoing the procedure as an
OOH intervention cost the admitting hospital, on average, $6,385,
compared to $11,226 per patient who had the procedure performed at
the admitting facility. Please note that although the cost of an
OOH intervention may be lower to the admitting facility, the total
cost of hospitalization shared between two facilities may be
higher.
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