Cost analysis according to diagnosis in tertiary care patients in a university hospital

Abstract

Objective: In this study, our aim was to improve the cost control and efficiency by calculating the differences between the income and expenses based on diagnoses made in the ICU. Which take a very important place in hospital expenditures. Methods: Data related to healthcare costs of the patients, and income were taken from the data processing and billing departments and analyzed according to the diagnoses. Patients' demographic data, hospitalization times, intensive care unit results, total income and expenses, treatment fees, drug and consumables fees were evaluated separately. Results: A total of 115 patients were included in this study. The diagnostic groups of the patients were acute repiratory distress syndrome, pulmonary edema, intoxication, traffic accident, chronic obstructive pulmonary disease (COPD), pneumonia, pulmonary embolism, and cardiac arrest of unknown etiology. It was observed that the income per patient was 619.47 Turkish liras in the COPD group, there was a cost loss in the postoperative group. Conclusion: The use of cost analysis methods in ICUs may enable both continuation of existing treatments and new arrangements according to needs. At the same time, limited resources can be used in the most efficient way. Thus, it may be easier for ICU patients to reach advanced therapies. © Copyright Anesthesiology and Reanimation Specialists' Society.