What question did this study set out to answer?

To estimate critical care nursing service costs using a top-down micro-costing approach and compare it against a bottom-up micro-costing approach based on direct care hours.

March 27, 2021Journal of Nursing Management

Critical care nursing service costs: Comparison of the top‐down versus bottom‐up micro‐costing approach in Brazil

View Full Paper

Ask AI

Bookmark

Authors

TAThamiris Ricci de AraújoUniversidade de Ribeirão Preto EPElizabeth PapathanassoglouUniversity of Alberta MMMayra Gonçalves MenegüetiUniversidade de Ribeirão Preto

Discussion

Member takes

Implication

Retrospective cohort study reveals top-down micro-costing overestimates general costs but underestimates severe care in ICU patients, indicating the need for workload-based budgeting.

Key Points

To estimate critical care nursing service costs using a top-down micro-costing approach and compare it against a bottom-up micro-costing approach based on direct care hours.
Conducted a retrospective cohort study of 286 patient records from an adult intensive care unit in São Paulo, Brazil.
Assessed costs via top-down apportionment versus bottom-up micro-costing using the Nursing Activities Score (NAS) to measure nursing workload.
The top-down approach estimated a total mean cost of US$1,640.4 ± 1,484.2 per patient, whereas the bottom-up approach yielded US$1,487.2 ± 1,385.7 per patient based on a mean NAS of 833 ± 776 points (200 ± 86 hours of care).
Top-down costing was higher in 268 patients with a total cost discrepancy of US$4,427.3, overestimating expenses for lower-intensity care and underestimating expenses for high-intensity patients with NAS >100 (discrepancy of US$436.9).

Cite This Study

Araújo et al. (2021) studied this question.

synapsesocial.com/papers/6a74435cd76de32a6a0a5542 https://doi.org/10.1111/jonm.13313

View Full Paper

Ask AI

Bookmark

Implication

Retrospective cohort study reveals top-down micro-costing overestimates general costs but underestimates severe care in ICU patients, indicating the need for workload-based budgeting.

Critical care nursing service costs: Comparison of the top‐down versus bottom‐up micro‐costing approach in Brazil

Discussion

Member takes

Implication

Key Points

Cite This Study

Critical care nursing service costs: Comparison of the top‐down versus bottom‐up micro‐costing approach in Brazil

Discussion

Member takes

Implication

Key Points

Cite This Study

Also Consider

Also Consider