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Economics of Critical Care Medicine, An Issue of Critical Care Clinics - E-Book

Economics of Critical Care Medicine, An Issue of Critical Care Clinics - E-Book

Donald Chalfin | John A Rizzo

(2012)

Additional Information

Book Details

Abstract

Topics include: Why Economics Matters to Critical Care Clinicians, Overview of Health Economics: Basics Concept for Clinicians;Health Economic Methods; Costs of Critical Care Medicine; Economic Aspects of Sepsis and Severe Infections; Economic Aspects of Renal Failure and Acute Kidney Injury; Economic Aspects of Cardiovascular Disease; Economics of Mechanical Ventilation and Respiratory Failure and Comparative Effective Research and Health Care Reform.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Critical Care Clinics i
Copyright Page ii
Table of Contents v
Contributors iii
Preface: Health Economics and Critical Care ix
Dedication xi
Chapter 1. Costs of Critical Care Medicine 1
NATIONAL HOSPITAL DATABASES AND CCM DATA 2
CRITICAL CARE COST CALCULATIONS IN THE UNITED STATES 3
SUMMARY OF US ICU COST STUDIES 3
ALTERNATIVE USES AND APPROACHES TO SOLVING THE RUSSELL EQUATION 5
LIMITATIONS OF GLOBAL ICU COST APPROACHES 8
COST CONTROL STRATEGIES 8
SUMMARY 8
REFERENCES 9
Chapter 2. Health Economic Methods: Cost-Minimization, Cost- Effectiveness, Cost-Utility, and Cost-Bene.t Evaluations 11
TYPES OF ECONOMIC EVALUATION 12
ANALYSIS PERSPECTIVES 13
IDENTIFYING ALTERNATIVES 14
MEASURING COSTS 14
MEASURING OUTCOMES 15
DISCOUNTING AND THE TIME HORIZON 16
COMBINING COSTS AND OUTCOMES 16
ANALYTICAL APPROACHES FOR ECONOMIC EVALUATIONS 18
DEALING WITH UNCERTAINTY 21
USING THE RESULTS OF AN ECONOMIC EVALUATION 22
SUMMARY 22
REFERENCES 22
Chapter 3. Economics of ICU Organization and Management 25
PERSPECTIVE REGARDING COSTS 26
COSTS WITHIN THE ICU 26
COSTS WITHIN THE HEALTHCARE SYSTEM 31
SUMMARY 32
REFERENCES 32
Chapter 4. Economics of Mechanical Ventilation and Respiratory Failure 39
EPIDEMIOLOGY, OUTCOMES, AND ECONOMIC BURDEN 39
INCREMENTAL COSTS 40
COST EFFECTIVENESS 42
PROLONGED MV 45
NONINVASIVE MV 49
SUMMARY 51
ACKNOWLEDGMENTS 51
REFERENCES 51
Chapter 5. The Economics of Sepsis 57
DEFINITIONS 57
EPIDEMIOLOGY 58
COSTS ASSOCIATED WITH SEPSIS AND ITS MANAGEMENT 59
COST-EFFECTIVENESS ANALYSES IN SEPSIS 64
SUMMARY 70
REFERENCES 71
Chapter 6. The Economics of Cardiovascular Disease in the United States 77
EPIDEMIOLOGY OF CVD 78
ECONOMIC BURDEN OF CVD IN THE UNITED STATES 79
COST-EFFECTIVENESS OF MEDICAL TREATMENTS FOR CVD 81
COST-EFFECTIVENESS OF SURGICAL TREATMENTS FOR CVD 83
DISCUSSION 84
REFERENCES 85
Chapter 7. Economic Aspects of Preventing Health Care– Associated Infections in the Intensive Care Unit 89
VAP 91
SUMMARY 96
REFERENCES 96
Chapter 8. The Economics of Renal Failure and Kidney Disease in Critically Ill Patients 99
ACUTE KIDNEY INJURY 99
ACUTE TUBULAR NECROSIS 102
RESOURCES, COST STUDIES, AND ECONOMIC EVALUATIONS 103
SUMMARY 107
REFERENCES 107
Chapter 9. Economic and Outcomes Aspects of Venous Thromboembolic Disease 113
EPIDEMIOLOGY OF VTE IN THE ICU 114
RISK FACTORS ASSOCIATED WITH VTE IN THE ICU 115
THROMBOPROPHYLAXIS RECOMMENDATIONS 115
VTE PROPHYLAXIS HEALTH CARE POLICY 119
ECONOMIC BURDEN OF VTE 119
SUMMARY 121
REFERENCES 121
Chapter 10. Health Economics and Health Technology Assessment: Perspectives from Australia and New Zealand 125
HEALTH TECHNOLOGY ASSESSMENT DEFINED 126
AUSTRALIA AND NEW ZEALAND 126
OVERVIEW OF THE AUSTRALIAN AND NEW ZEALAND HEALTH SYSTEMS 127
HEALTH ECONOMICS AND HEALTH TECHNOLOGY ASSESSMENT IN AUSTRALIA AND NEW ZEALAND 127
PHARMACEUTICALS 128
DEVICES AND SERVICES 130
REFERENCES 131
Index 135