Cost structure in specialist mental healthcare: what are the main drivers of the most expensive episodes?

Ki, Yeujin; McAleavey, Andrew Athan; Moger, Tron Anders; Moltu, Christian

doi:10.1186/s13033-023-00606-6

International Journal of Mental Health Systems

Table 5 Detailed cost categories of the KPP according to traditional and activity-based perspectives

From: Cost structure in specialist mental healthcare: what are the main drivers of the most expensive episodes?

Perspective	Structure level1	Structure level2	Structure level3	Structure level4
Traditional perspective	Direct costs	Direct labor costs	Ambulatory service	Personnel
			Anesthesia	Personnel
			Intensive care	Personnel
			Medicines Direct	Personnel
			Operation	Personnel
			Outpatient	Personnel
			Radiology	Personnel
			Inpatient care	Personnel
		Non-labor costs	Ambulatory service	Consumables
			Anesthesia	Consumables
			Intensive care	Consumables
			Medicines Direct	Consumables
			Operation	Consumables
			Outpatient	Consumables
			Radiology	Consumables
			Inpatient care	Consumables
			Ambulatory service	Other consumable
			Anesthesia	Other consumable
			Intensive care	Other consumable
			Medicines Direct	Other consumable
			Operation	Other consumable
			Outpatient	Other consumable
			Radiology	Other consumable
			Inpatient care	Other consumable
			Ambulatory service	Implants
			Anesthesia	Implants
			Intensive care	Implants
			Medicines Direct	Implants
			Operation	Implants
			Outpatient	Implants
			Radiology	Implants
			Inpatient care	Implants
			Ambulatory service	Medicines
			Anesthesia	Medicines
			Intensive care	Medicines
			Medicines Direct	Medicines
			Operation	Medicines
			Outpatient	Medicines
			Radiology	Medicines
			Inpatient care	Medicines
	Indirect costs		Ambulatory service	Other cost
			Anesthesia	Other cost
			Intensive care	Other cost
			Medicines Direct	Other cost
			Operation	Other cost
			Outpatient	Other cost
			Radiology	Other cost
			Inpatient care	Other cost
			Ambulatory service	Capital cost
			Anesthesia	Capital cost
			Intensive care	Capital cost
			Medicines Direct	Capital cost
			Operation	Capital cost
			Outpatient	Capital cost
			Radiology	Capital cost
			Inpatient care	Capital cost
			Ambulatory service	Cost reduction
			Anesthesia	Cost reduction
			Intensive care	Cost reduction
			Medicines Direct	Cost reduction
			Operation	Cost reduction
			Outpatient	Cost reduction
			Radiology	Cost reduction
			Inpatient care	Cost reduction

Perspective	Structure level1	Structure level2
Activity-based perspective	Ambulatory service	Other consumable
		Consumables
		Implants
		Capital cost
		Cost reduction
		Medicines
		Other cost
		Personnel
	Anesthesia	Other consumable
		Consumables
		Implants
		Capital cost
		Cost reduction
		Medicines
		Other cost
		Personnel
	Intensive care	Other consumable
		Consumables
		Capital cost
		Cost reduction
		Medicines
		Other cost
		Personnel
	Operation	Other consumable
		Consumables
		Implants
		Capital cost
		Cost reduction
		Medicines
		Other cost
		Personnel
	Outpatient	Other consumable
		Consumables
		Implants
		Capital cost
		Cost reduction
		Medicines
		Other cost
		Personnel
	Radiology	Other consumable
		Consumables
		Implants
		Capital cost
		Cost reduction
		Medicines
		Other cost
		Personnel
	Inpatient care	Other consumable
		Consumables
		Implants
		Capital cost
		Cost reduction
		Medicines
		Other cost
		Personnel

Consumables category includes the cost of medicines provided to patients in connection with patient contact. They are classified separately from the Medicine category for administrative purposes. Other consumables category have been created as a collective category for all other consumables used in patient care. Other cost category is set up for reflecting actual costs that are allocated to the patients such as cost regards unmet schedule or empty beds. More information can be found on < Revidert versjon Nasjonal spesifikasjon for KPP-modellering—psykisk helsevern og TSB (Begreper og metoder) >

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ISSN: 1752-4458

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