tailieunhanh - Báo cáo y học: "Costs of stroke and stroke services: Determinants of patient costs and a comparison of costs of regular care and care organised in stroke service"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Costs of stroke and stroke services: Determinants of patient costs and a comparison of costs of regular care and care organised in stroke services. | Cost Effectiveness and Resource Allocation BioMed Central Research Open Access Costs of stroke and stroke services Determinants of patient costs and a comparison of costs of regular care and care organised in stroke services Job van Exel 1 2 Marc A Koopmanschap1 2 Jeroen DH van Wijngaarden2 and Wilma JM Scholte op Reimer3 Address institute for Medical Technology Assessment iMTA Erasmus MC Rotterdam The Netherlands 2Department of Health Policy and Management iBMG Erasmus MC Rotterdam The Netherlands and 3Department of Cardiology Erasmus MC Rotterdam The Netherlands Email Job van Exel - vanexel@ Marc A Koopmanschap - koopmanschap@ Jeroen DH van Wijngaarden - vanwijngaarden@ Wilma JM Scholte op Reimer - Corresponding author Published 26 February 2003 Received 24 February 2003 Accepted 26 February 2003 Cost Effectiveness and Resource Allocation 2003 1 2 This article is available from http content 1 1 2 2003 van Exel et al licensee BioMed Central Ltd. This is an Open Access article verbatim copying and redistribution of this article are permitted in all media for any purpose provided this notice is preserved along with the article s original URL. Abstract Background Stroke is a major cause of death and long-term disability in Western societies and constitutes a major claim on health care budgets. Organising stroke care in a stroke service has recently been demonstrated to result in better health effects for patients. This paper discusses patient costs after stroke and compares costs between regular and stroke service care. Methods Costs were calculated within the framework of the evaluation of three experiments with stroke services in the Netherlands. Cost calculations are base on medical consumption data and actual costs. Results 598 patients were consecutively admitted to hospital after stroke. The average total costs of care per patient for the 6 month follow-up are estimated at