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Inpatient costs and predictors of costs in the psychosomatic treatment of anorexia nervosa.
MedLine Citation:
PMID:  21374692     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: In German inpatient psychosomatics per diem lump sums will be introduced as reimbursement rates by 2013. It was the aim to calculate total inpatient costs per case for the psychosomatic treatment of patients with anorexia nervosa and to identify cost predictors. METHOD: The sample comprised of 127 inpatients. Cost calculation was executed from the hospital's perspective, mainly using microcosting. Medical records provided data on patient characteristics and individual resource use. Two generalized linear models with gamma distribution and log link function were estimated to determine cost predictors by means of demographic data, comorbidities, and body-mass-index at admission. RESULTS: Inpatient costs amounted to 4,647 €/6,831 US$ per case (standard deviation 3,714 €/5,460 US$).The admission BMI and "Disorders of Adult Personality and Behavior" were significant cost predictors (p < 0.05). DISCUSSION: The formation of patient groups within the diagnosis anorexia nervosa should be oriented towards the determined cost predictors. © 2011 by Wiley Periodicals, Inc. (Int J Eat Disord 2011;).
Authors:
Laura Haas; Tom Stargardt; Jonas Schreyoegg; Rico Schlösser; Gerhard Danzer; Burghard F Klapp
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-3
Journal Detail:
Title:  The International journal of eating disorders     Volume:  -     ISSN:  1098-108X     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8111226     Medline TA:  Int J Eat Disord     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Wiley Periodicals, Inc.
Affiliation:
Department of Psychosomatic Medicine, Charité Medical School, Berlin, Germany; Charité Center for Internal Medicine and Dermatology, Charité Medical School, Berlin, Germany. laura.haas@charite.de.
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