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Title: An estimate of the cost of administering intravenous biological agents in Spanish day hospitals
Author: Nolla Solé, Joan Miquel
Martín-Sánchez, Esperanza
Llamas, Pilar
Manero, Javier
Rodríguez de la Serna, Arturo
Fernández-Miera, Manuel Francisco
Rodríguez, Mercedes
López, José Manuel
Ivanova, Aleksandra
Aragon, Belén
Keywords: Hospitals de dia
Artritis reumatoide
Teràpia intravenosa
Day hospitals
Rheumatoid arthritis
Intravenous therapy
Issue Date: 14-Mar-2017
Publisher: Dove Medical Press
Abstract: Objective: to estimate the unit costs of administering intravenous (IV) biological agents in day hospitals (DHs) in the Spanish National Health System. Patients and methods: data were obtained from 188 patients with rheumatoid arthritis, collected from nine DHs, receiving one of the following IV therapies: infliximab (n=48), rituximab (n=38), abatacept (n=41), or tocilizumab (n=61). The fieldwork was carried out between March 2013 and March 2014. The following three groups of costs were considered: 1) structural costs, 2) material costs, and 3) staff costs. Staff costs were considered a fixed cost and were estimated according to the DH theoretical level of activity, which includes, as well as personal care of each patient, the DH general activities (complete imputation method, CIM). In addition, an alternative calculation was performed, in which the staff costs were considered a variable cost imputed according to the time spent on direct care (partial imputation method, PIM). All costs were expressed in euros for the reference year 2014. Results: The average total cost was is an element of 146.12 per infusion (standard deviation [SD] +/- 87.11; CIM) and is an element of 29.70 per infusion (SD +/- 11.42; PIM). The structure-related costs per infusion varied between is an element of 2.23 and is an element of 62.35 per patient and DH; the cost of consumables oscillated between is an element of 3.48 and is an element of 20.34 per patient and DH. In terms of the care process, the average difference between the shortest and the longest time taken by different hospitals to administer an IV biological therapy was 113 minutes. Conclusion: the average total cost of infusion was less than that normally used in models of economic evaluation coming from secondary sources. This cost is even less when the staff costs are imputed according to the PIM. A high degree of variability was observed between different DHs in the cost of the consumables, in the structure-related costs, and in those of the care process.
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It is part of: Therapeutics And Clinical Risk Management, 2017, vol. 13, p. 325-334
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ISSN: 1176-6336
Appears in Collections:Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
Articles publicats en revistes (Ciències Clíniques)

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