Cost-effective critical care: Cost containment and rationing

Seminars in Respiratory and Critical Care Medicine

Volumn 33, Issue 4, 2012, Pages 413-420

  Rubenfeld, Gordon D ^a,b  

^a UNIVERSITY OF TORONTO   (Canada)

^b SUNNYBROOK RESEARCH INSTITUTE   (Canada)

Author keywords

cost containment; critical care; ethics; rationing; resources

Indexed keywords

CAPTOPRIL; FLUOXETINE; GROWTH HORMONE; IMIPRAMINE;

2009 H1N1 INFLUENZA; ARTICLE; COLLOID; COMPARATIVE STUDY; COST CONTROL; COST EFFECTIVENESS ANALYSIS; CRITICALLY ILL PATIENT; DEVELOPED COUNTRY; EMERGENCY HEALTH SERVICE; EVIDENCE BASED MEDICINE; FLUID RESUSCITATION; HEALTH CARE COST; HEALTH EDUCATION; HOSPITAL COST; HUMAN; INTENSIVE CARE; INTENSIVE CARE UNIT; MEDICAL CARE; MEDICAL DECISION MAKING; OUTCOME ASSESSMENT; PRIORITY JOURNAL; QUALITY OF LIFE; RESOURCE ALLOCATION; SEVERE ACUTE RESPIRATORY SYNDROME; VENTILATOR ASSOCIATED PNEUMONIA;

COST CONTROL; COST-BENEFIT ANALYSIS; CRITICAL CARE; DECISION MAKING; DISASTERS; HEALTH CARE COSTS; HEALTH CARE RATIONING; HUMANS; INTENSIVE CARE UNITS; PANDEMICS;

EID: 84864667006     PISSN: 10693424     EISSN: 10989048     Source Type: Journal    
DOI: 10.1055/s-0032-1322411     Document Type: Article

References (44)

1. Asch DA, Ubel PA. Rationing by any other name. N Engl J Med: 1997; 336 23 1668 1671
2. Schroeder SA. Personal reflections on the high cost of American medical care: many causes but few politically sustainable solutions. Arch Intern Med: 2011; 171 8 722 727
3. Mehlman MJ. The legal implications of health care cost containment: a symposium: health care cost containment and medical technology: a critique of waste theory. Case Western Reserve Law Rev: 1986; 36 778 877
4. Brook RH, Chassin MR, Fink A, Solomon DH, Kosecoff J, Park RE. A method for the detailed assessment of the appropriateness of medical technologies. Int J Technol Assess Health Care: 1986; 2 1 53 63
5. Hébert PC, Wells G, Blajchman MA., et al. A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care. Transfusion Requirements in Critical Care Investigators, Canadian Critical Care Trials Group. N Engl J Med: 1999; 340 6 409 417
6. Takala J, Ruokonen E, Webster NR., et al. Increased mortality associated with growth hormone treatment in critically ill adults. N Engl J Med: 1999; 341 11 785 792
7. Rubenfeld GD. Understanding why we agree on the evidence but disagree on the medicine. Respir Care: 2001; 46 12 1442 1449
8. Kahneman D, Slovic P, Tversky A. Judgment under Uncertainty: Heuristics and Biases. Cambridge; New York Cambridge University Press: 1987
9. Jonsen AR. Bentham in a box: technology assessment and health care allocation. Law Med Health Care: 1986; 14 3-4 172 174
10. Alderson P, Schierhout G, Roberts I, Bunn F. Colloids versus crystalloids for fluid resuscitation in critically ill patients. Cochrane Database Syst Rev: 2000; 2 CD000567 CD000567
11. Bodenheimer T. The Oregon Health Planlessons for the nation. First of two parts. N Engl J Med: 1997; 337 9 651 655
12. Tengs TO, Meyer G, Siegel JE, Pliskin JS, Graham JD, Weinstein MC. Oregon's Medicaid ranking and cost-effectiveness: is there any relationship? Med Decis Making: 1996; 16 2 99 107
13. Rettig RA. False Hope: Bone Marrow Transplantation for Breast Cancer. Oxford Oxford University Press: 2007
14. Groeger JS, Strosberg MA, Halpern NA., et al. Descriptive analysis of critical care units in the United States. Crit Care Med: 1992; 20 6 846 863
15. Hadorn DC. Setting health care priorities in Oregon: cost-effectiveness meets the rule of rescue. JAMA: 1991; 265 17 2218 2225
16. Ubel PA, Richardson J, Menzel P. Societal value, the person trade-off, and the dilemma of whose values to measure for cost-effectiveness analysis. Health Econ: 2000; 9 2 127 136
17. Doubilet P, Weinstein MC, McNeil BJ. Use and misuse of the term "cost effectiveo" in medicine. N Engl J Med: 1986; 314 4 253 256
18. Eisenberg JM. Clinical economics: a guide to the economic analysis of clinical practices. JAMA: 1989; 262 20 2879 2886
19. Ely EW, Baker AM, Dunagan DP., et al. Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously. N Engl J Med: 1996; 335 25 1864 1869
20. Cook D, Guyatt G, Marshall J., et al. Canadian Critical Care Trials Group A comparison of sucralfate and ranitidine for the prevention of upper gastrointestinal bleeding in patients requiring mechanical ventilation. N Engl J Med: 1998; 338 12 791 797
21. Darouiche RO, Raad II, Heard SO., et al. Catheter Study Group A comparison of two antimicrobial-impregnated central venous catheters. N Engl J Med: 1999; 340 1 1 8
22. Ben-Menachem T, McCarthy BD, Fogel R., et al. Prophylaxis for stress-related gastrointestinal hemorrhage: a cost effectiveness analysis. Crit Care Med: 1996; 24 2 338 345
23. Inman KJ, Sibbald WJ, Rutledge FS, Clark BJ. Clinical utility and cost-effectiveness of an air suspension bed in the prevention of pressure ulcers. JAMA: 1993; 269 9 1139 1143
24. Morgan A, Daly C, Murawski BJ. Dollar and human costs of intensive care. J Surg Res: 1973; 14 5 441 448
25. Jegers M, Edbrooke DL, Hibbert CL, Chalfin DB, Burchardi H. Definitions and methods of cost assessment: an intensivist's guide. ESICM section on health research and outcome working group on cost effectiveness. Intensive Care Med: 2002; 28 6 680 685
26. Veenstra DL, Saint S, Sullivan SD. Cost-effectiveness of antiseptic-impregnated central venous catheters for the prevention of catheter-related bloodstream infection. JAMA: 1999; 282 6 554 560
27. Digiovine B, Chenoweth C, Watts C, Higgins M. The attributable mortality and costs of primary nosocomial bloodstream infections in the intensive care unit. Am J Respir Crit Care Med: 1999; 160 3 976 981
28. Rapoport J, Teres D, Zhao Y, Lemeshow S. Length of stay data as a guide to hospital economic performance for ICU patients. Med Care: 2003; 41 3 386 397
29. Reinhardt UE. Spending more through cost control:' our obsessive quest to gut the hospital. Health Aff (Millwood): 1996; 15 2 145 154
30. Luce JM, Rubenfeld GD. Can health care costs be reduced by limiting intensive care at the end of life? Am J Respir Crit Care Med: 2002; 165 6 750 754
31. Strauss MJ, LoGerfo JP, Yeltatzie JA, Temkin N, Hudson LD. Rationing of intensive care unit services. An everyday occurrence. JAMA: 1986; 255 9 1143 1146
32. Sinuff T, Kahnamoui K, Cook DJ, Luce JM, Levy MM.; Values Ethics and Rationing in Critical Care Task Force. Rationing critical care beds: a systematic review. Crit Care Med: 2004; 32 7 1588 1597
33. Ward NS, Teno JM, Curtis JR, Rubenfeld GD, Levy MM. Perceptions of cost constraints, resource limitations, and rationing in United States intensive care units: results of a national survey. Crit Care Med: 2008; 36 2 471 476
34. Marshall MF, Schwenzer KJ, Orsina M, Fletcher JC, Durbin CG Jr. Influence of political power, medical provincialism, and economic incentives on the rationing of surgical intensive care unit beds. Crit Care Med: 1992; 20 3 387 394
35. Alexander S. They decide who lives, who dies: medical miracle puts moral burden on small committee. Life: 1962; 53 102 125
36. Indiana University Center for Bioethics. Pandemic Influenza Ethics Toolkit. Ethics guide for health care practitioners: working under conditions of an influenza pandemic: plan, prepare, practice 2009. http://bioethics.iu.edu/ programs/other/pandemic/pandemic-influenza-ethics-toolkit/. Accessed September 20, 2011
37. White DB, Katz MH, Luce JM, Lo B. Who should receive life support during a public health emergency? Using ethical principles to improve allocation decisions. Ann Intern Med: 2009; 150 2 132 138
38. Persad G, Wertheimer A, Emanuel EJ. Principles for allocation of scarce medical interventions. Lancet: 2009; 373 9661 423 431
39. Rubenfeld GD, Crawford SW. Withdrawing life support from mechanically ventilated recipients of bone marrow transplants: a case for evidence-based guidelines. Ann Intern Med: 1996; 125 8 625 633
40. Hunt L. 'Death by computer' proposition dismissed. The Independent. August 25, 1994
41. Christian MD, Joynt GM, Hick JL, Colvin J, Danis M, Sprung CL.; European Society of Intensive Care Medicine's Task Force for intensive care unit triage during an influenza epidemic or mass disaster. Chapter 7. Critical care triage. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster. Intensive Care Med: 2010; 36 01 S55 S64
42. Christian MD, Hamielec C, Lazar NM., et al. A retrospective cohort pilot study to evaluate a triage tool for use in a pandemic. Crit Care: 2009; 13 5 R170
43. Committee for Disaster Medicine Reform. http://www.cdmr.org/. Accessed September 20, 2011
44. Adhikari NK, Fowler RA, Bhagwanjee S, Rubenfeld GD. Critical care and the global burden of critical illness in adults. Lancet: 2010; 376 9749 1339 1346