Age and Ageing 2001; 30: 67-72
© 2001, British Geriatrics Society
Research papers |
The development and use of a method to compare the costs of acute stroke across Europe
Department of Public Health Sciences, Guy's, King's and St Thomas' School of Medicine, 42 Weston Street, London SE1 5QD, UK
1 The Centre for Health Planning and Management, University of Keele, Keele, UK
Abstract
Background: there is a need for more information on the costs of different ways of managing stroke. Methods to compare the costs of stroke care in different countries have not been previously developed.
Objective: to develop and use a method to compare the costs of acute stroke care across Europe.
Setting: acute hospitals in 13 different European centres.
Subjects and methods: we included in the study stroke patients hospitalized during 19967 at 13 centres across Europe (n=2072). We recorded the duration of acute hospital stay and use of investigations. Mean costs for each centre were predicted using linear regression analysis to adjust for case-mix differences.
Results: the average acute hospital stay ranged from 9 days (Spain) to 35 days (UK; P<0.001). The predicted mean cost of treating conscious, continent men aged >74 ranged from $220 (95% confidence interval 191254) in Latvia to $5164 (42946191) in Austria.
Conclusions: differences in the acute costs of stroke exist across Europe because of differences in clinical practice and unit costs. This methodology will be used to capture the costs incurred by a broad range of care providers. These estimates will then be suitable for using in cost-effectiveness analysis.
Keywords: costing methodology, Europe, international comparisons, stroke
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