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Cost awareness among intensivists in their daily clinical practice: a prospective multicentre study

Author

Listed:
  • Timothée Lehut

    (CHU Clermont-Ferrand)

  • Céline Lambert

    (DRCI, CHU Clermont-Ferrand)

  • Romain Mortier

    (DRCI, CHU Clermont-Ferrand)

  • Emmanuel Futier

    (CHU Clermont-Ferrand)

  • Russell Chabanne

    (CHU Clermont-Ferrand)

  • Ulrich Bauer

    (Intensive Care Unit, Cancer Center Jean Perrin)

  • Philippe Verdier

    (Centre Hospitalier de Montluçon)

  • Ramin Ravan

    (Centre Hospitalier Jacques Lacarin)

  • Philippe Ocquidant

    (CHU de la Réunion)

  • Charline Mourgues

    (DRCI, CHU Clermont-Ferrand)

  • Alexandre Lautrette

    (Intensive Care Unit, Cancer Center Jean Perrin
    CHU Clermont-Ferrand,Intensive Care Unit, Cancer Centre Jean Perrin
    UMR CNRS 6023, Université Clermont Auvergne)

Abstract

Background Better cost-awareness is a prerogative in achieving the best benefit/risk/cost ratio in the care. We aimed to assess the cost-awareness of intensivists in their daily clinical practice and to identify factors associated with accurate estimate of cost (50–150% of the real cost). Methods We performed a prospective observational study in seven French ICUs. We compared the estimate of intensivists of the daily costs of caring with the real costs on a given day. The estimates covered five categories (drugs, laboratory tests, imaging modalities, medical devices, and waste) whose sum represented the overall cost. Results Of the 234 estimates made by 65 intensivists, 70 (29.9%) were accurate. The median overall cost estimate (€330 [170; 620]) was significantly higher than the real cost (€178 [124; 239], p

Suggested Citation

  • Timothée Lehut & Céline Lambert & Romain Mortier & Emmanuel Futier & Russell Chabanne & Ulrich Bauer & Philippe Verdier & Ramin Ravan & Philippe Ocquidant & Charline Mourgues & Alexandre Lautrette, 2024. "Cost awareness among intensivists in their daily clinical practice: a prospective multicentre study," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 25(9), pages 1529-1537, December.
    • Handle: RePEc:spr:eujhec:v:25:y:2024:i:9:d:10.1007_s10198-024-01686-y
    DOI: 10.1007/s10198-024-01686-y
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