A cost description of an adult cystic fibrosis unit and cost analyses of different categories of patients

Abstract

Background There is little information on the costs of running an adult cystic fibrosis centre. The aim of this study was to provide detailed costinsp to assist funding and planning for these patients. Methods The cost of a regional adult cystic fibrosis centre serving 119 cystic fibrosis patients, categorised according to four treatment regimens, was determined. District health authority, family health service authority, and voluntary resources used from April 1989 to March 1990 were determined, with appropriate bases for allocation of costs and patient based costings from local information. Results The total annual cost of treating the 119 patients was £980 646, with an average cost £8241 per patient. An outpatient reviewed at three monthly intervals cost £2792 a year; an outpatient receiving intravenous antibiotics cost £8606; an inpatient receiiving intravenous antibiotics cost £13 501; and a patient needing a high level of care cost £19 955. Medication accounted for 57% (£561 395) of the total cost. Conclusions This analysis has helped us to secure funding for patients with cystic fibrosis and it facilitates the prediction of future requirements. The study also indicates the limitations of using average patient costs and difficulties as a result of the poorly structured British National Health Service accounting and information systems.