Who bears the cost of healthcare-acquired surgical site infection?

Graves, Nicholas, Halton, Kate A., Doidge, Shane, Clements, Archie, Lairson, David, & Whitby, Michael (2008) Who bears the cost of healthcare-acquired surgical site infection? Journal of Hospital Infection, 69(3), pp. 274-282.

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The aim of this study was to estimate the economic costs of healthcare-acquired surgical site infection (HA-SSI) and show how they are distributed between the in-hospital and post-discharge phases of care and recovery. A quantitative model of the epidemiology and economic consequences of HA-SSI was used, with data collected from a prospective cohort of surgical patients and other relevant sources. A logical model structure was specified and data applied to model parameters. A hypothetical cohort of 10[punctuation space]000 surgical patients was evaluated. We found that 111 cases of infection would be diagnosed in hospital and 784 cases would first appear after discharge. Of the total costs incurred, either 31% or 67% occurred during the hospital phase, depending on whether production losses incurred after discharge were included. Most of the costs incurred by the hospital sector arose from lost bed-days and only a small proportion arose from variable costs. We discuss the issues relating to the size of these costs and provide data on where they are incurred. These results can be used to inform subsequent cost-effectiveness analyses that evaluate the efficiency of programmes to reduce the risks of HA-SSI.

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14 citations in Scopus
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12 citations in Web of Science®

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ID Code: 18189
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: Costs, Economics, Surgical site infection, Post-discharge
DOI: 10.1016/j.jhin.2008.04.022
ISSN: 0195-6701
Subjects: Australian and New Zealand Standard Research Classification > ECONOMICS (140000) > APPLIED ECONOMICS (140200) > Health Economics (140208)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Deposited On: 30 Apr 2009 05:43
Last Modified: 29 Feb 2012 13:49

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