Buist M
Department of Anaesthetics and Intensive Care, Liverpool Hospital, New South Wales.
Anaesth Intensive Care. 1994 Feb;22(1):46-60. doi: 10.1177/0310057X9402200109.
The cost-effectiveness of the Intensive Care Unit after three decades of development has yet to be demonstrated. Accurate ICU resource allocation is limited by our inability to measure cost-effectiveness. Measurement tools have been developed and refined that will give a prediction of in-hospital mortality of groups of critically ill patients. However, these measures will not predict with certainty individual patient outcomes, and take no account of quality of life. Methodology to examine long-term outcome and quality of life after intensive care is still in its infancy. Measurement of ICU cost is limited by a lack of cost-accounting models that not only reflect true cost but that are clinically applicable.
经过三十年的发展，重症监护病房的成本效益尚未得到证实。由于我们无法衡量成本效益，准确的重症监护病房资源分配受到限制。已经开发并完善了测量工具，这些工具可以预测危重症患者群体的院内死亡率。然而，这些措施无法确定地预测个体患者的预后，也没有考虑生活质量。研究重症监护后长期预后和生活质量的方法仍处于起步阶段。重症监护病房成本的测量受到缺乏成本核算模型的限制，这些模型不仅要反映真实成本，还要在临床上适用。
