A micro-costing approach to estimating hospital costs for appendectomy in a cross-European context

Health Economics
Jonas Schreyögg

Abstract

This paper aims (a) to determine whether variations in the hospital costs of appendectomy in EU member states are larger within individual countries or between different countries and (b) to explore causes for variations in costs between hospitals and countries. To do so, hospitalisation costs and reimbursement rates for appendectomy were obtained from 54 hospitals in nine European member states based on 1786 cases using a standardised methodology. Regression analysis was performed using hospital characteristics, treatment characteristics, and purchasing power parities (PPP) as explanatory variables in a multilevel framework. The within-country standard error was estimated to 294 euros (27%), whereas the between-country standard error was 796 euros (73%). Excluding hospitals in Spain, Hungary, and Poland, which had significantly lower costs than hospitals in the other countries in our analysis, the within-country standard error was 331 euros (57%) and the between-country standard error dropped to 248 euros (43%). Regression results show that the treatment decision for open surgery was associated with significantly lower costs, whereas a greater number of beds and a higher staff per bed ratio were associated with significantly h...Continue Reading

References

Nov 1, 1990·American Journal of Epidemiology·D G AddissR V Tauxe
May 16, 1998·Journal of the American College of Surgeons·R GolubD Pohl
Sep 28, 1998·JAMA : the Journal of the American Medical Association·R MechanicA Dobson
Feb 23, 1999·The British Journal of Surgery·A HellbergS Sörensen
Nov 6, 1987·Journal of Health Economics·D F Vitaliano
Mar 4, 2000·The Australian and New Zealand Journal of Surgery·K A FouldsK Maoate
Oct 6, 2001·American Journal of Surgery·R J Kurtz, T M Heimann
Feb 1, 2002·International Journal of Epidemiology·R E Andersson, M Lambe
Feb 24, 2004·Health Care Management Science·Michael D Rosko
Dec 30, 2004·Surgical Endoscopy·D E MooreM D Holzman
Nov 5, 2005·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Cláudio BrescianiJoaquim Gama-Rodrigues
Nov 29, 2005·Journal of the American College of Surgeons·David R FlumThomas Koepsell
Oct 5, 2006·Health Care Management Science·Fernando Sánchez-MartínezJaume Puig-Junoy
Oct 13, 2006·Health Economics·Edward EvansEun-Hwan Oh

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Citations

Oct 11, 2011·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Laura HaasJonas Schreyoegg
Jan 13, 2012·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·M PirsonP Leclercq
Jun 19, 2009·Medical Care·Kevin D Frick
Apr 16, 2011·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Raj C DedhiaJonas T Johnson
Jan 5, 2011·Plastic and Reconstructive Surgery·Megan M Abbott, John G Meara
Sep 18, 2012·The American Journal of Emergency Medicine·Xavier BoschAlfonso López-Soto
Jan 14, 2009·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Siok Swan TanLeona Hakkaart-van Roijen
Oct 26, 2010·Respiratory Medicine·Mary GeitonaDemosthenes Bouros
Mar 6, 2012·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C R LattimerG Geroulakos
Mar 6, 2015·Annals of Surgical Treatment and Research·Hyeyoung KimJung Kee Chung
Dec 7, 2017·Health Economics Review·Mads D FaurbyDespena Andrioti
Apr 9, 2014·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Bibiana Lasses-MartínezJesus Alvarez Fernández-Represa

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