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A cost-minimization study of cancer patients requiring a narcotic infusion in hospital and at home.

Abstract：

:We conducted a retrospective, non-randomized, cost-minimization study, from the perspective of the Ministry of Health, to compare the cost of managing cancer patients who required narcotic infusions, in hospital and at home. Our medical costs averaged $369.72 per inpatient day and $150.24 per outpatient day (saving $219.48 per diem, 1988 Canadian dollars), while narcotic costs were the same for any given patient in both settings. Sensitivity analysis showed that no reasonable changes in the quantity and cost of services reduced our savings by more than 50%. During incremental analysis, savings increased as more outpatient days were managed by our centre, from $0.00 for 318 days, to more than $500,000 for over 2000 days per annum. As this program has been extremely cost effective and preferred by our patients, other hospitals and central funding agencies might consider establishing a regional outpatient narcotic infusion program to reduce their costs.

journal_name

J Clin Epidemiol

journal_title

Journal of clinical epidemiology

authors

Ferris FD,Wodinsky HB,Kerr IG,Sone M,Hume S,Coons C

doi

10.1016/0895-4356(91)90043-9

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

313-27

issue

3

eissn

0895-4356

issn

1878-5921

pii

0895-4356(91)90043-9

journal_volume

44

pub_type

杂志文章

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