Resource usage in outpatient care and reimbursement for cystic fibrosis in Germany

Pediatr Pulmonol. 2011 Mar;46(3):278-85. doi: 10.1002/ppul.21364. Epub 2010 Nov 17.

Abstract

Objective: Objective of this study is to assess and evaluate resource use in outpatient treatment in Germany and to compare it with remuneration.

Methods: Outpatient treatment was evaluated in seven different centers for pediatric and adult CF patients. Data were recorded during one representative month in 2006. A micro-costing approach was used to value resource use data.

Results: For outpatient treatment mean costs (excluding drugs) of 488 € per patient per quarter occurred. Correlation analyses identified significant cost drivers including age and co-morbidities (pancreatic insufficiency, hepatobiliary complications, lung function capacity, or bacterial lung colonization). Remuneration covered only 51% of the total costs (252 € per patient/quarter).

Conclusions: As the human resources available to these centers today are already below the requirements set by the European consensus for standards of CF care it will be important for a high level of patient care to reach a cost-covering remuneration scheme.

Keywords: Germany; cost analysis; cystic fibrosis; reimbursement.

Publication types

  • Comparative Study
  • Multicenter Study
  • Observational Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Ambulatory Care / economics*
  • Child
  • Child, Preschool
  • Cross-Sectional Studies
  • Cystic Fibrosis / economics*
  • Cystic Fibrosis / therapy*
  • Female
  • Germany
  • Health Resources / statistics & numerical data*
  • Humans
  • Infant
  • Male
  • Reimbursement Mechanisms*
  • Young Adult