Setting: An urban tuberculosis (TB) control program. Objective: The use of medical services was analyzed from diagnosis through completion of treatment for TB patients in a public health system in order to estimate charges and service utilization. Design: The in- and out-patient medical records, including long term care and jail health service records, were retrospectively reviewed for the first 100 patients diagnosed with TB in 1993 at a public hospital. Because the hospital did not have a cost-accounting system, charges were estimated based on a variety of sources. Results: Complete records were available for 92 patients; one outlier was excluded. The resulting 91 patients represented 11% of newly diagnosed patients in Chicago in 1993. Overall, almost 99% of the charges reflected in-patient (acute and long term care) utilization. Total charges of $3 154 583 represent the charges to complete therapy for only 46 patients, or $68 578 per completed case. Conclusions: This study attempts to overcome the limitations of aggregate data sets by looking at individual patients followed longitudinally through a complex public health system. Expensive in-patient care may be partially, but not completely, replaced by directly observed therapy. The findings may be used to predict resource utilization for diagnosis and treatment programs.
|Original language||English (US)|
|Number of pages||6|
|Journal||International Journal of Tuberculosis and Lung Disease|
|State||Published - May 1 1999|
- Health care costs
- Public hospitals
- Tuberculosis pulmonary/economics