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Published in: Intensive Care Medicine 10/2015

01-10-2015 | Understanding the Disease

Understanding the Russell equation and projection estimates to describe critical care costs in the USA

Authors: Neil A. Halpern, Stephen M. Pastores

Published in: Intensive Care Medicine | Issue 10/2015

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Excerpt

The delivery of critical care medicine (CCM) services in the USA is expensive [1, 2], exceeding US$80 billion in 2005 [2]. However, despite the CCM cost magnitude, CCM costs are never reported by any US governmental agency; instead, they are calculated periodically, since the 1980s, by various groups of investigators [15]. An understanding of how CCM costs are determined in the USA is important to help gauge their accuracy, consistency, usefulness, and comparability to CCM costing in other countries. …
Literature
1.
go back to reference Halpern NA, Pastores SM, Greenstein RJ (2004) Critical care medicine in the United States 1985–2000: an analysis of bed numbers, use, and costs. Crit Care Med 32:1254–1259CrossRefPubMed Halpern NA, Pastores SM, Greenstein RJ (2004) Critical care medicine in the United States 1985–2000: an analysis of bed numbers, use, and costs. Crit Care Med 32:1254–1259CrossRefPubMed
2.
go back to reference Halpern NA, Pastores SM (2010) Critical care medicine in the United States 2000–2005: an analysis of bed numbers, occupancy rates, payer mix, and costs. Crit Care Med 38:65–71CrossRefPubMed Halpern NA, Pastores SM (2010) Critical care medicine in the United States 2000–2005: an analysis of bed numbers, occupancy rates, payer mix, and costs. Crit Care Med 38:65–71CrossRefPubMed
3.
go back to reference Jacobs P, Noseworthy TW (1990) National estimates of intensive care utilization and costs: Canada and the United States. Crit Care Med 18:1282–1286CrossRefPubMed Jacobs P, Noseworthy TW (1990) National estimates of intensive care utilization and costs: Canada and the United States. Crit Care Med 18:1282–1286CrossRefPubMed
4.
go back to reference Halpern N, Bettes L, Greenstein R (1994) Federal and nationwide intensive care units and healthcare costs: 1986–1992. Crit Care Med 22:2001–2007PubMed Halpern N, Bettes L, Greenstein R (1994) Federal and nationwide intensive care units and healthcare costs: 1986–1992. Crit Care Med 22:2001–2007PubMed
5.
go back to reference Coopersmith CM, Wunsch H, Fink MP et al (2012) A comparison of critical care research funding and the financial burden of critical illness in the United States. Crit Care Med 40:1072–1079CrossRefPubMed Coopersmith CM, Wunsch H, Fink MP et al (2012) A comparison of critical care research funding and the financial burden of critical illness in the United States. Crit Care Med 40:1072–1079CrossRefPubMed
7.
go back to reference American Hospital Association (2015) AHA Hospital Statistics 2015 edn. AHA Health Forum, Chicago American Hospital Association (2015) AHA Hospital Statistics 2015 edn. AHA Health Forum, Chicago
8.
go back to reference Russell LB (1979) Intensive care. Technology in hospitals, medical advances and their diffusion. The Brookings Institution, Washington, D.C., pp 41–70 Russell LB (1979) Intensive care. Technology in hospitals, medical advances and their diffusion. The Brookings Institution, Washington, D.C., pp 41–70
9.
10.
go back to reference Seidel J, Whiting PC, Edbrooke DL (2006) The costs of intensive care. Contin Educ Anaesth Crit Care Pain 6:160–163CrossRef Seidel J, Whiting PC, Edbrooke DL (2006) The costs of intensive care. Contin Educ Anaesth Crit Care Pain 6:160–163CrossRef
11.
go back to reference Berenson RA (1984) Intensive care units: clinical outcomes, costs, and decision making. Office of Technology Assessment prepared for US Congress, Washington Berenson RA (1984) Intensive care units: clinical outcomes, costs, and decision making. Office of Technology Assessment prepared for US Congress, Washington
12.
go back to reference Milbrandt EB, Kersten A, Rahim MT et al (2008) Growth of intensive care unit resource use and its estimated cost in Medicare. Crit Care Med 36:2504–2510CrossRefPubMed Milbrandt EB, Kersten A, Rahim MT et al (2008) Growth of intensive care unit resource use and its estimated cost in Medicare. Crit Care Med 36:2504–2510CrossRefPubMed
13.
go back to reference Jacobs P, Edbrooke D, Hibbert C et al (2001) Descriptive patient data as an explanation for the variation in average daily costs in intensive care. Anaesthesia 56:643–647CrossRefPubMed Jacobs P, Edbrooke D, Hibbert C et al (2001) Descriptive patient data as an explanation for the variation in average daily costs in intensive care. Anaesthesia 56:643–647CrossRefPubMed
14.
go back to reference Dasta JF, McLaughlin TP, Mody SH, Piech CT (2005) Daily cost of an intensive care unit day: the contribution of mechanical ventilation. Crit Care Med 33:1266–1271CrossRefPubMed Dasta JF, McLaughlin TP, Mody SH, Piech CT (2005) Daily cost of an intensive care unit day: the contribution of mechanical ventilation. Crit Care Med 33:1266–1271CrossRefPubMed
Metadata
Title
Understanding the Russell equation and projection estimates to describe critical care costs in the USA
Authors
Neil A. Halpern
Stephen M. Pastores
Publication date
01-10-2015
Publisher
Springer Berlin Heidelberg
Published in
Intensive Care Medicine / Issue 10/2015
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-015-3876-0

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