[Cost effectiveness of integrated internal medicine].
The medical diagnoses and their economic level of severity as well as the treatment costs and the proceeds of an integrated internal - psychosomatic ward C were compared with two conventional internal wards A and B of a general medical department within a hospital of tertiary care level. With a similar economic level of severity of the diagnoses, lethality and costs for nursing care given the medical treatment costs of C were significant lower and the proceeds (minus medical treatment costs and nurses' salaries) calculated according to G-DRG version 1.0 higher than those of A and B. Integrated internal medicine is more cost effective compared to conventional internal medicine.
Häuser
Winfried
W
Medizinische Klinik I (Gastroenterologie, Hepatologie, Stoffwechsel- und Infektionskrankheiten, Psychosomatik), Klinikum Saarbrücken. whaeuser@klinikum-saarbruecken.de
Zimmer
Christoph
C
Klär
Yvonne
Y
Krause-Wichmann
Daniel
D
D003362:Cost-Benefit Analysis; D003365:Costs and Cost Analysis; D019033:Delivery of Health Care, Integrated / Q000191:economics*; D003953:Diagnosis-Related Groups / Q000191:economics; D005260:Female; D005858:Germany; D006801:Humans; D007388:Internal Medicine / Q000191:economics*; D008297:Male; D008875:Middle Aged; D011602:Psychophysiologic Disorders / Q000191:economics* / Q000451:nursing / Q000628:therapy; D011611:Psychosomatic Medicine / Q000191:economics*