Possibilities for cost containment in intensive care.
An intensive care unit (ICU) is valuable but consumes a disproportionately high amount of health-care resources. Accordingly, cost containment has been deemed a mandatory task. A review of the literature from many countries was completed to determine the strategies for reducing the cost of care in the ICU. The results of this review show that cost reduction can be achieved by using a variety of the following strategies: (i) instituting a closed ICU, where all the patient care is directed by intensivists or full-time critical care trained physicians; (ii) the utilization of interdisciplinary approaches to the care of patients in the ICU; (iii) developing and implementing a program of television-guided remote intensivists; (iv) the use of an alerting and reminding system; and (v) increasing the number of intermediate care beds for patients who require only monitoring and intensive nursing. The conclusion reached is that many of these strategies provide evidence for hospital manager decisions regarding cost containment strategies for the delivery of health care in the ICU.
Thungjaroenkul
Petsunee
P
Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand. petsunee@mail.nurse.cmu.ac.th
Kunaviktikul
Wipada
W
D003363:Cost Control; D017046:Cost Savings; D003422:Critical Care / Q000191:economics*; D003659:Decision Making, Organizational; D017721:Hospital Costs / Q000706:statistics & numerical data; D006801:Humans; D007362:Intensive Care Units / Q000191:economics*; D008511:Medicine / Q000458:organization & administration; D016134:Organizational Policy; D010348:Patient Care Team / Q000458:organization & administration; D016730:Program Development; D011383:Progressive Patient Care / Q000458:organization & administration; D017010:Reminder Systems; D019114:Remote Consultation / Q000458:organization & administration; D013038:Specialization; D019467:Subacute Care / Q000458:organization & administration; D017749:Total Quality Management / Q000458:organization & administration