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Cost containment: Europe. The Netherlands
1Department of Surgery, University Hospital of Groningen, The Netherlands.
New Horizons (Baltimore, Md.)
|August 1, 1994
Summary
Intensive care units (ICUs) in The Netherlands face resource misallocation and high costs. A 1989-1990 study revealed operational issues, leading to recommendations for better ICU management and resource definition.
Area of Science:
- Healthcare Management
- Critical Care Medicine
- Health Economics
Background:
- Intensive care medicine in The Netherlands represents a significant portion of healthcare expenditure.
- High costs and resource utilization in ICUs have raised concerns over the past decade.
Purpose of the Study:
- To evaluate the effectiveness and organization of Intensive Care Units (ICUs) in The Netherlands.
- To identify factors contributing to the high cost and potential misuse of resources in ICUs.
Main Methods:
- A national study conducted from 1989 to 1990.
- Analysis of operational characteristics of ICUs and their association with hospital structures.
- Evaluation of resource provision versus utilization.
Main Results:
- A significant mismatch between resource provision and utilization was found in approximately 50% of ICUs.
- Surgical activities and limited recovery room availability contributed to ICU resource misuse.
- Lack of clear policies and sound management practices were identified as contributing factors.
Conclusions:
- Adoption of quantifiable methods for defining ICU care levels is recommended.
- Enforcement of professional organization and management of ICUs is crucial for cost containment and improved resource use.