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. 2022 Jul 18;3(4):e12778. doi: 10.1002/emp2.12778

TABLE 4.

Comparison of the mean costs of care ($US) per condition according to time‐driven activity‐based costing based on time estimates and time measurements

Conditions TE a TM b Difference TE‐TM P value
Upper respiratory tract infection 64.2 (58.4 to 70.0) 53.7 (47.9 to 59.6) 10.5 (9.9 to 11.0) <0.001
Urinary tract infection 63.9 (52.9 to 74.9) 67.1 (57.7 to 76.6) −3.2 (−5.7 to −0.8) 0.005
Lower back pain 90.1 (71.2 to 108.9) 85.7 (70.4 to 101.1) 4.3 (−0.2 to 9.0) 0.07
Unspecified abdominal pain 211.0 (183.1 to 238.9) 160.9 (147.2 to 190.6) 50.2 (41.7 to 58.7) <0.001
Superficial limb laceration 142.8 (109.1 to 176.5) 194.8 (148.1 to 241.5) −52.0 (−68.0 to −36.0) <0.001

Abbreviations: CI, confidence interval; ED, emergency department; TE, Time estimates by care professionnals; TM, time measurements on the field; US, United States.

Note: Time‐driven activity‐based costing requires 2 parameters: the capacity cost rate ($/min) of resources involved in patient care and the duration (min) of procedures provided to patients. The costs of the care procedures are obtained by multiplying the first with the second as in the following example: Cost of ED triage = capacity cost rates of nurse, consumables and overhead (1.02$/min + 0.09$/min + 0.22$/min) × triage duration (7.1 min) = $9.44. This table compares the cost estimates obtained from the durations estimated with 2 different approaches. All data are presented as mean (95% CI).

a

Time‐driven activity‐based costing from time estimates by care professionals.

b

Time‐driven activity‐based costing from field measurements of time.