Research team
Expertise
Teaching skills and curriculum development.
Malnutrition ROB-RVT.
Abstract
Researcher(s)
- Promoter: Bossaert Leo
- Co-promoter: Geurden Bart
Research team(s)
Project type(s)
- Research Project
Optimization of data collection instruments.
Activity and pathology scores in intensive care (on behalf of the University hospital in Antwerp)
Abstract
The project will calculkate the real cost per patient for a mix of pathologies of patients hospitalised in the intensive care unit of The University Hospital of Antwerp. The methology of Activity Based Costing will be used and carefully evaluated. It will be analysed to which degree the cost of an anctivity is pathology-specific. For this comparison, data collected for project P105/p00508 will be analysed. Finally, it will be analysed whether scores of severity of illness can be sused for the toal cost per patient.Researcher(s)
- Promoter: De Graeve Diana
- Co-promoter: Bossaert Leo
- Co-promoter: Jorissen Ann
- Co-promoter: Theunisse Hilda
Research team(s)
Project type(s)
- Research Project
The analysis of cost behaviour in ICU : the relationship between costs, expenditures and capacity decisions and the impact of case-mix.
Abstract
Knowledge about the total actual treatment cost of a patient is important in order to negotiate about a reimbursement system and for decision making purposes within the hospital and the ICU-unit. This project will focus on the treatment cost of a patient with cardiac surgery pathology within the ICU-unit of the University Hospital. Nowadays Activity Based Costing is promoted as the best allocation method, also in the context of hospitals. However in the presence of resources provided on a joint and indivisible basis (which is often the case in hospitals) this method does not produce relevant costs for decision making. ABC based on an assumed linear relation between costs and activities can yield poor approximations to actual expenditures, which play an important role in the determination of the reimbursement by the government and the insurers. Besides the problem of joint costs, there is the issue of case mix within the ICU. In this context the question arises whether the cost for a specific activity can be generalised over the different pathologies or whether the costs are unique per pathology. In the first phase of the project the total cost per patient will be calculatcd with the use of different cost allocation methods (conventional coating, ABC, costing based on joint and indivisible resources) for the pathology cardiac surgcry. In this way we want to study if ABC information provides reliable signals for decision making (e.g. the approximation to actual expenditures, the usefulness for cost savings in the hospita! context). In the second part of the project the effect of case mix on the cost per patient in an ICU will be studied through a comparison of the results of this study with the general results of the SAPI-study.Researcher(s)
- Promoter: Bossaert Leo
Research team(s)
Project type(s)
- Research Project
The analysis of cost behaviour in ICU: the relationship between costs, expenditures and capacity decisions and the impact of case mix.
Abstract
Insight in the real cost of treatment of patient is important when developing a fincancing system and also as internal policy in the hospital. The project will calculate the real cost per patient for cardiosurgery patients hospitalised in the intensive care unit of the University Hospital of Antwerp. Activity Based Costing is strongly recommended as cost methodology for cost assignment, also in the hospital setting. Still this method can be problematic when confronted with joint use of resources and indivisibility. In addition, there is a practial problem with respect to the unit of measurement: is it possible to determine the cost per activity in general, or is the cost per activity pathology-specific. The study will pay attention to both problems. First, the real cost per patient will be calculated on the basis of different cost methodologies. Second, a comparison will be made between the cost per patient for one pathology (cardiosurgery) with the cost for a mix of pathologies.Researcher(s)
- Promoter: De Graeve Diana
- Co-promoter: Bossaert Leo
- Co-promoter: Jorissen Ann
- Co-promoter: Theunisse Hilda
Research team(s)
Project type(s)
- Research Project