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

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...

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Bibliographic Details
Published in:The European journal of health economics 2024-12, Vol.25 (9), p.1529-1537
Main Authors: Lehut, Timothée, Lambert, Céline, Mortier, Romain, Futier, Emmanuel, Chabanne, Russell, Bauer, Ulrich, Verdier, Philippe, Ravan, Ramin, Ocquidant, Philippe, Mourgues, Charline, Lautrette, Alexandre
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Language:English
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Summary: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  
ISSN:1618-7598
1618-7601
1618-7601
DOI:10.1007/s10198-024-01686-y