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dc.contributor.authorJacobs, Karel
dc.contributor.authorRoman, Erin
dc.contributor.authorLambert, Jo
dc.contributor.authorMoke, Lieven
dc.contributor.authorScheys, Lennart
dc.contributor.authorKesteloot, Katrien
dc.contributor.authorRoodhooft, Filip
dc.contributor.authorCardoen, Brecht
dc.date.accessioned2022-02-03T13:41:00Z
dc.date.available2022-02-03T13:41:00Z
dc.date.issued2022en_US
dc.identifier.issn0168-8510
dc.identifier.doi10.1016/j.healthpol.2021.12.004
dc.identifier.urihttp://hdl.handle.net/20.500.12127/7002
dc.description.abstractObjectives Studies on variability drivers of treatment costs in hospitals can provide the necessary information for policymakers and healthcare providers seeking to redesign reimbursement schemes and improve the outcomes-over-cost ratio, respectively. This systematic literature review, focusing on the hospital perspective, provides an overview of studies focusing on variability in treatment cost, an outline of their study characteristics and cost drivers, and suggestions on future research methodology. Methods We adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and Cochrane Handbook for Systematic Reviews of Interventions. We searched PubMED/MEDLINE, Web of Science, EMBASE, Scopus, CINAHL, Science direct, OvidSP and Cochrane library. Two investigators extracted and appraised data for citation until October 2020. Results 90 eligible articles were included. Patient, treatment and disease characteristics and, to a lesser extent, outcome and institutional characteristics were identified as significant variables explaining cost variability. In one-third of the studies, the costing method was classified as unclear due to the limited explanation provided by the authors. Conclusion Various patient, treatment and disease characteristics were identified to explain hospital cost variability. The limited transparency on how hospital costs are defined is a remarkable observation for studies wherein cost variability is the main focus. Recommendations relating to variables, costs, and statistical methods to consider when designing and conducting cost variability studies were provided.en_US
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.subjectCost Variability Driversen_US
dc.subjectHospital Costsen_US
dc.subjectSystematic Reviewen_US
dc.subjectCost Variationen_US
dc.subjectValue-based Healthcareen_US
dc.subjectCosts and Cost Analysisen_US
dc.titleVariability drivers of treatment costs in hospitals: A systematic reviewen_US
dc.identifier.journalHealth Policyen_US
dc.source.volume126en_US
dc.source.issue2en_US
dc.source.beginpage75en_US
dc.source.endpage86en_US
dc.contributor.departmentKU Leuven, Faculty of Medicine, LIGB (Leuven Institute for Health Policy), Leuven, Belgiumen_US
dc.contributor.departmentKU Leuven, Faculty of Medicine, IORT (Institute for Orthopaedic Research and Training), Leuven, Belgiumen_US
dc.contributor.departmentKU Leuven, Faculty of Economics and Business, Leuven, Belgiumen_US
dc.contributor.departmentGhent University Hospital, department of Dermatology, Ghent, Belgiumen_US
vlerick.knowledgedomainAccounting & Financeen_US
vlerick.knowledgedomainOperations & Supply Chain Managementen_US
vlerick.knowledgedomainSpecial Industries : Healthcare Managementen_US
vlerick.typearticleVlerick strategic journal articleen_US
vlerick.vlerickdepartmentAFen_US
vlerick.vlerickdepartmentCFEHMen_US
dc.identifier.vperid182153en_US
dc.identifier.vperid180424en_US
dc.identifier.vperid51506en_US
dc.identifier.vperid120992en_US


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