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

Timothée Lehut (), Céline Lambert (), Romain Mortier (), Emmanuel Futier (), Russell Chabanne (), Ulrich Bauer (), Philippe Verdier (), Ramin Ravan (), Philippe Ocquidant (), Charline Mourgues () and Alexandre Lautrette ()
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Timothée Lehut: CHU Clermont-Ferrand
Céline Lambert: DRCI, CHU Clermont-Ferrand
Romain Mortier: DRCI, CHU Clermont-Ferrand
Emmanuel Futier: CHU Clermont-Ferrand
Russell Chabanne: CHU Clermont-Ferrand
Ulrich Bauer: Intensive Care Unit, Cancer Center Jean Perrin
Philippe Verdier: Centre Hospitalier de Montluçon
Ramin Ravan: Centre Hospitalier Jacques Lacarin
Philippe Ocquidant: CHU de la Réunion
Charline Mourgues: DRCI, CHU Clermont-Ferrand
Alexandre Lautrette: Intensive Care Unit, Cancer Center Jean Perrin

The European Journal of Health Economics, 2024, vol. 25, issue 9, No 5, 1529-1537

Abstract: Abstract 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

Keywords: Cost awareness; Medical knowledge; Daily clinical practice; Sustainable hospital development; Financial impact; Health care cost control (search for similar items in EconPapers)
Date: 2024
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DOI: 10.1007/s10198-024-01686-y

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