<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_1905-7415.1003.489_s_001_w2aab3b7b7b1b6b1aab1c16b1Aa"><h3>Background</h3><p>The impact of adverse events on costs of medical care in developing countries is more limited than in developed countries.</p></sec><sec id="j_1905-7415.1003.489_s_002_w2aab3b7b7b1b6b1aab1c16b2Aa"><h3>Objective</h3><p>To estimate uncompensated medical care costs as a result of adverse events in hospitalized patients.</p></sec><sec id="j_1905-7415.1003.489_s_003_w2aab3b7b7b1b6b1aab1c16b3Aa"><h3>Method</h3><p>Retrospective study based on a panel reviews of the medical records and hospital charges relating to 574 inpatients in the electronic database of a tertiary-care university hospital in Bangkok, Thailand, of which 138 were identified to have adverse events in 2009. The main outcome measure was hospital charges for medical care standardized by Thai diagnosis-related groups (Thai-DRGs).</p></sec><sec id="j_1905-7415.1003.489_s_004_w2aab3b7b7b1b6b1aab1c16b4Aa"><h3>Result</h3><p>After controlling for personal and clinical factors, the average medical cost of an adverse event was estimated at US $128.98 per adjusted relative weight of Thai-DRGs, equivalent to 52% of the standard payment rate paid to the hospital set by a Universal Coverage Scheme.</p></sec><sec id="j_1905-7415.1003.489_s_005_w2aab3b7b7b1b6b1aab1c16b5Aa"><h3>Conclusion</h3><p>Adverse events in the hospital increased the cost of medical care despite adjustment for the case-mix based on DRG. Under the close-ended DRG-based payments for hospitals in Thailand, this meant that adverse events resulted in significant amounts of uncompensated care.</p></sec></abstract>

BackgroundThe impact of adverse events on costs of medical care in developing countries is more limited than in developed countries.ObjectiveTo estimate uncompensated medical care costs as a result of adverse events in hospitalized patients.MethodRetrospective study based on a panel reviews of the medical records and hospital charges relating to 574 inpatients in the electronic database of a tertiary-care university hospital in Bangkok, Thailand, of which 138 were identified to have adverse events in 2009. The main outcome measure was hospital charges for medical care standardized by Thai diagnosis-related groups (Thai-DRGs).ResultAfter controlling for personal and clinical factors, the average medical cost of an adverse event was estimated at US $128.98 per adjusted relative weight of Thai-DRGs, equivalent to 52% of the standard payment rate paid to the hospital set by a Universal Coverage Scheme.ConclusionAdverse events in the hospital increased the cost of medical care despite adjustment for the case-mix based on DRG. Under the close-ended DRG-based payments for hospitals in Thailand, this meant that adverse events resulted in significant amounts of uncompensated care.

Estimating uncompensated medical care cost as a result of adverse events in a university hospital in Thailand

Asian Biomedicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

BackgroundThe impact of adverse events on costs of medical care in developing countries is more limited than in developed countries.ObjectiveTo estimate...

Estimating uncompensated medical care cost as a result of adverse events in a university hospital in Thailand

Article Category: Brief communication (Original)

Published Online: Jan 31, 2017

Page range: 261 - 267

DOI: https://doi.org/10.5372/1905-7415.1003.489

Keywords
Adverse events, costs, hospital, medical care, Thailand

© 2016 Luleeya Ocharot, Jiruth Sriratanaban, Sureerat Ngamkiatphaisan, Narin Hiransuthikul

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Estimating uncompensated medical care cost as a result of adverse events in a university hospital in Thailand

Article Category: Brief communication (Original)

Published Online: Jan 31, 2017

Page range: 261 - 267

DOI: https://doi.org/10.5372/1905-7415.1003.489

KeywordsAdverse events, costs, hospital, medical care, Thailand

© 2016 Luleeya Ocharot, Jiruth Sriratanaban, Sureerat Ngamkiatphaisan, Narin Hiransuthikul

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
Adverse events, costs, hospital, medical care, Thailand