naa a22 4500 510741339 CHVBK 20180411083029.0 cr unu---uuuuu 180411e20131201xx s 000 0 eng 10.1007/s11845-013-0942-x doi (NATIONALLICENCE)springer-10.1007/s11845-013-0942-x "Bending the cost curve” in Gastroenterology [Elektronische Daten] [E. Slattery, G. Harewood, F. Murray, S. Patchett] Introduction: Increasing attention is being focused on reigning in escalating costs of healthcare, i.e. trying to ‘bend the cost curve'. In gastroenterology (GI), inpatient hospital care represents a major component of overall costs. This study aimed to characterize the trend in cost of care for GI-related hospitalizations in recent years and to identify the most costly diagnostic groups. Methods: All hospital inpatients admitted between January 2008 and December 2009 with a primary diagnosis of one of the six most common GI-related Diagnosis Related Groups (DRGs) in this hospital system were identified; all DRGs contained at least 40 patients during the study period. Patient Level Costing (PLC) was used to express the total cost of hospital care for each patient; PLC comprised a weighted daily bed cost plus cost of all medical services provided (e.g., radiology, pathology tests) calculated according to an activity-based costing approach; cost of medications were excluded. All costs were discounted to 2009 values. Mean length of stay (LOS) was also calculated for each DRG. Results: Over 2years, 470 patients were admitted with one of the six most common GI DRGs. Mean cost of care increased from 2008 to 2009 for all six DRGs with the steepest increases seen in ‘GI hemorrhage (non-complex)' (31% increase) and ‘Cirrhosis/Alcoholic hepatitis (non-complex)' (45% increase). No differences in readmission rates were observed over time. There was a strong correlation between year-to-year change in costs and change in mean LOS, r=0.93. Conclusion: The cost of GI-related inpatient care appears to be increasing in recent years with the steepest increases observed in non-complex GI hemorrhage and non-complex Cirrhosis/Alcoholic hepatitis. Efforts to control the increasing costs should focus on these diagnostic categories. Royal Academy of Medicine in Ireland, 2013 Cost curve nationallicence Gastroenterology nationallicence Length of stay nationallicence Disease relate groupings nationallicence Cost reduction nationallicence Slattery E. Department of Gastroenterology, Beaumont Hospital, Dublin, Ireland aut Harewood G. Department of Gastroenterology, Beaumont Hospital, Dublin, Ireland aut Murray F. Department of Gastroenterology, Beaumont Hospital, Dublin, Ireland aut Patchett S. Department of Gastroenterology, Beaumont Hospital, Dublin, Ireland aut Irish Journal of Medical Science Springer London 182/4(2013-12-01), 629-632 0021-1265 182:4<629 2013 182 11845 https://doi.org/10.1007/s11845-013-0942-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11845-013-0942-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Slattery E. Department of Gastroenterology, Beaumont Hospital, Dublin, Ireland aut NATIONALLICENCE 700 1- Harewood G. Department of Gastroenterology, Beaumont Hospital, Dublin, Ireland aut NATIONALLICENCE 700 1- Murray F. Department of Gastroenterology, Beaumont Hospital, Dublin, Ireland aut NATIONALLICENCE 700 1- Patchett S. Department of Gastroenterology, Beaumont Hospital, Dublin, Ireland aut NATIONALLICENCE 773 0- Irish Journal of Medical Science Springer London 182/4(2013-12-01), 629-632 0021-1265 182:4<629 2013 182 11845 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer