Öschelbronn Clinic, Center for Integrative Medicine, Am Eichhof 30, 75223 Niefern-Öschelbronn, Germany.
Evid Based Complement Alternat Med. 2013;2013:748932. doi: 10.1155/2013/748932. Epub 2013 Jan 31.
Background. Much work has been done to evaluate the outcome of integrative inpatient treatment but scarcely the costs. This paper evaluates the costs for inpatient treatment in three anthroposophic hospitals (AHs). Material and Methods. Cost and performance data from a total of 23,180 cases were analyzed and compared to national reference data. Subgroup analysis was performed between the cases with and without anthroposophic medical complex (AMC) treatment. Results. Costs and length of stay in the cases without AMC displayed no relevant differences compared to the national reference data. In contrast the inlier cases with AMC caused an average of € 1,394 more costs. However costs per diem were not higher than those in the national reference data. Hence, the delivery of AMC was associated with a prolonged length of stay. 46.6% of the cases with AMC were high outliers. Only 10.6% of the inlier cases with AMC were discharged before reaching the mean length of stay of each DRG. Discussion. Treatment in an AH is not generally associated with an increased use of resources. However, the provision of AMC leads to a prolonged length of stay and cannot be adequately reimbursed by the current G-DRG system. Due to the heterogeneity of the patient population, an additional payment should be negotiated individually.
背景。已经有很多工作致力于评估整体住院治疗的效果，但很少关注成本。本文评估了三所人智学医院（AH）的住院治疗成本。
材料和方法。对总共 23180 例病例的成本和绩效数据进行了分析，并与国家参考数据进行了比较。对接受和未接受人智医学综合治疗（AMC）的病例进行了亚组分析。
结果。未接受 AMC 治疗的病例的成本和住院时间与国家参考数据没有显著差异。相比之下，接受 AMC 治疗的病例平均多花费了 1394 欧元。然而，每日费用并不高于国家参考数据。因此，AMC 的提供与住院时间延长有关。接受 AMC 治疗的病例中有 46.6%为高离群值。只有 10.6%的 AMC 接受者在达到每个 DRG 的平均住院时间之前出院。
讨论。在 AH 接受治疗通常不会导致资源使用增加。然而，AMC 的提供会导致住院时间延长，并且不能被当前的 G-DRG 系统充分补偿。由于患者人群的异质性，应单独协商额外支付。
