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Explaining differences in operating costs among poison control centers: an exploratory study.

Jeffrey A Alexander1, Laurel A Copeland, Maureen E Metzger

  • 1Health Management and Policy, University of Michigan School of Public Health. Ann Arbor, Michigan 48109, USA. jalexand@sph.umich.edu

Clinical Toxicology (Philadelphia, Pa.)
|May 16, 2007
PubMed
Summary

Poison control center costs vary widely, with 24-hour Specialist in Poison Information coverage being a major expense. Complex organizational structures and certain locations increase costs, while less specialization is linked to lower expenses.

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Area of Science:

  • Public Health
  • Health Services Research
  • Toxicology

Background:

  • Poison control centers (PCCs) are crucial for managing human poison exposures.
  • Understanding cost drivers is essential for efficient resource allocation in public health.

Purpose of the Study:

  • To identify factors influencing the cost per human poison exposure call.
  • To differentiate organizational characteristics of high-cost versus low-cost PCCs.

Main Methods:

  • Analysis of data from 65 PCCs using linear multiple regression.
  • Qualitative comparison of organizational data from 10 centers.

Main Results:

  • 24-hour Specialist in Poison Information coverage was the most significant cost predictor ($15.70/call).
  • Northeast location and more health educator full-time equivalents (FTEs) also increased costs.
  • Higher-cost centers exhibited more complex organizational structures; lower-cost centers showed less specialization.

Conclusions:

  • Significant cost variability suggests potential inefficiencies in PCC operations.
  • Restructuring PCCs for cost reduction may compromise training, collaboration, and emergency preparedness.