Economics of Preventing Hospital Infection
Emerging infectious diseasesPublished 1 April 2004Open access
Nicholas Graves
Citations197
SJR quartileQ1
SJR score1.88
SNIP1.47
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Abstract
The economics of preventing hospital-acquired infections is most often described in general terms. The underlying concepts and mechanisms are rarely made explicit but should be understood for research and policy-making. We define the key economic concepts and specify an illustrative model that uses hypothetical data to identify how two related questions might be addressed: 1) how much should be invested for infection control, and 2) what are the most appropriate infection-control programs? We aim to make explicit the economics of preventing hospital-acquired infections.
Keywords
MedicineHealth Professions
Cost-Effectiveness in Health and Medicine
7,119 Citations1996
Methods for the Economic Evaluation of Health Care Programmes
4,559 Citations2005Michael E Drummond, Mark J Sculpher +3 more
Infection Control and Hospital EpidemiologyThe Impact of Surgical-Site Infections in the 1990s: Attributable Mortality, Excess Length of Hospitalization, And Extra Costs
1,721 Citations1999Kathryn B Kirkland, Jane Briggs +3 more
In the 1990s, patients who develop SSI have longer and costlier hospitalizations than patients who do not develop such infections, and programs that reduce the incidence of SSI can substantially decrease morbidity and mortality and reduce the economic burden for patients and hospitals.
JAMANosocomial bloodstream infection in critically ill patients. Excess length of stay, extra costs, and attributable mortality
1,364 Citations1994Didier Pittet
Annals of Internal MedicineThe Distinction Between Cost and Charges
1,071 Citations1982Steven A. Finkler
The literature on economic efficiency in providing hospital services has been growing recently, but instead of measuring cost directly, studies use patient bills (charges) aa a proxy for cost as a measure of cost.
BMJCost-effectiveness analysis.
820 Citations1993Ray Robinson
Cost-effectiveness analysis and sensitivity analysis are described, which examines the results to alternative assumptions about key variables and discusses possibilities for how the benefits of alternative interventions should be valued.
Medical Entomology and ZoologyEconomic Evaluation in Health Care: Merging Theory with Practice
724 Citations2002Alistair McGuire, Michael Drummond
This book provides an in-depth discussion of the latest theoretical advances and gives comprehensive reviews of the available literature in the rapidly advancing field of theory and practice of economic evaluation in health care.
Journal of Hospital InfectionThe rate and cost of hospital-acquired infections occurring in patients admitted to selected specialties of a district general hospital in England and the national burden imposed
442 Citations2001R. Plowman, Nicholas Graves +5 more
Estimates of the burden of hospital-acquired infections occurring in adult patients admitted to similar specialties at NHS hospitals in England were derived from the results of this study.
The American Journal of MedicineExtra charges and prolongation of stay attributable to nosocomial infections: A prospective interhospital comparison
343 Citations1981Robert W. Haley, Dennis R. Schaberg +3 more
The economic consequences of nosocomial infection in three hospitals that differed in size, administrative characteristics and patients' economic status were influenced more by site of infection than by differences among hospitals, and their magnitude emphasizes the need for continued preventive efforts.
Economic Evaluation in Health Care
299 Citations2001Alistair McGuire
JAMADistribution of Variable vs Fixed Costs of Hospital Care
284 Citations1999Rebecca Roberts
The majority of cost in providing hospital service is related to buildings, equipment, salaried labor, and overhead, which are fixed over the short term.
Journal of Hospital InfectionThe cost of infection in surgical patients: a case-control study
210 Citations1993R. Coello, Helen Glenister +5 more
Hospital length of stay was the greatest contributor to the cost and accounted for 95% of the extra cost in orthopaedics, 94% in gynaecology and 92% in general surgery and urology.
BMJCost-benefit analysis.
202 Citations1993Ray Robinson
Cost-benefit analysis is probably the most comprehensive method of economic evaluation available and the most successful that has been devised so far is the "willingness to pay" (stated preference) approach, though the response to this is to a large extent dependent on the income of the person being questioned.
American Journal of Infection ControlA systematic audit of economic evidence linking nosocomial infections and infection control interventions: 1990-2000
201 Citations2002Patricia W. Stone, Elaine Larson +1 more
Clinicians should partner with economists and policy analysts to expand and improve the economic evidence available to reduce hospital complications such as NI and other adverse patient/staff outcomes.
Journal of Hospital InfectionThe economics of nosocomial infections
187 Citations1995Richard P. Wenzel
A simple model of the costs and benefits of an infection control programme is presented and the concepts of crude and attributable mortality were applied to examine the cost per life year saved if a minority of infection-related deaths were prevented.
Epidemiology and InfectionEstimated costs of postoperative wound infections
161 Citations1994Kjeld Poulsen, Annie Bremmelgaard +3 more
It showed that the hospital resources spent on the ten groups, which represent half of the postoperative wound infections in Denmark, amounted to approximately 0·5% of the annual national hospital budget, which creates a better basis for selecting groups of operations which need priority in terms of preventive measures.
The American Journal of MedicineMeasuring the costs of nosocomial infections: Methods for estimating economic burden on the hospital
147 Citations1991Robert W. Haley
To compete more effectively for resources, it is increasingly important for infection control practitioners to estimate the costs of nosocomial infections and the amount of money their infection control programs save the hospital.
Infection Control and Hospital EpidemiologyNonrandom Selection and The Attributable Cost of Surgical-Site Infections
104 Citations2002Christopher S. Hollenbeak, Denise Murphy +2 more
Deep chest SSI significantly increases the cost of care for patients who undergo CABG surgery and controlling for selection bias with Heckman's two-stage method resulted in a substantially smaller estimate, suggesting that the estimates derived from the other models should be acceptable.
Emerging infectious diseasesApplying Economic Principles to Health Care
52 Citations2001R. Douglas Scott, Sara Solomon +1 more
The information provided by hospital epidemiologists is critical to understanding health-care production processes used by a hospital and developing economic incentives to promote antibiotic effectiveness and infection control.
The Thoracic and Cardiovascular SurgeonAdded Hospital Stay Due to Wound Infections Following Cardiac Surgery
50 Citations1992I. Kappstein, Gabi Schulgen +4 more
To determine the prolongation of hospital stay due to postoperative wound infections following cardiac surgery, a prospective cohort study was performed by matching multiple control patients without infection to each infected patient (= case).
Infection ControlHospital Costs of Nosocomial Infections: A Prospective Three-Month Study In a Community Hospital
46 Citations1980William E. Scheckler
Data from a community hospital show a shorter prolongation of length of stay and lower hospital costs when compared with the few other studies in the literature, leading us to believe that the proportion of nosocomial infections at any given site may greatly alter the “average” cost of Nosocomial infection.
Agricultural Economics ReportsAssigning Values To Life: Comparing Methods For Valuing Health Risks
46 Citations1999Fred Kuchler, Elise H. Golan
BMJHow far does prophylaxis against infection in total joint replacement offset its cost?
30 Citations1988Ulf Persson, F Montgomery +3 more
When a value was assigned to the effects of loss of health an economic optimum was established that allowed selection of a more costly method of prophylaxis together with further reductions in the incidence of infection and the need for reoperation.
PubMed[Estimation of costs attributable to nosocomial infection: prolongation of hospitalization and calculation of alternative costs].
27 Citations1996Carmen Peña, Miquel Pujol +6 more
Nosocomial infection produces a increase median hospital stay of 7-10 days and owes its existence to the prolongation of hospital stay, which is considered as the more objective date to estimate the costs.
Journal of Hospital InfectionEvaluation of the costs and benefits of reducing hospital infection
24 Citations1991Michael Drummond, Linda Davies
This paper outlines the essential elements of economic evaluation and distinguishes between different forms of analysis and discusses a number of evaluations of infection control measures undertaken to date.
Infection Control and Hospital EpidemiologyStarting to Learn About the Costs of Nosocomial Infections in the New Millennium: Where Do We Go From Here?
22 Citations2002Victoria J. Fraser
Journal of Hospital InfectionEconomic issues in infection control
17 Citations1984David Cohen
Economics is a discipline wlhich adopts a stance somewhat different from most of those represented at this conference, although agreeing that the control of infection is clearly a good thing, economic analysis is based on the tenet that like all good things, infection control is not achieved without cost.
American Journal of Infection ControlA prospective study of nosocomial infections in cardiac surgery pots in China
7 Citations1990Liuyi Li, Wang Shu-qun
The pathogens causing NI were mostly gram-negative bacteria, and they were mainly opportunistic, and the contribution of fungal infection was significant in the hospitals.
OpenGrey (Institut de l'Information Scientifique et Technique)Hospital Acquired Infection
5 Citations1997Plowman, R., Graves, N. +2 more
