Uncompensated costs associated with the outpatient management of cancer chemotherapy-associated febrile neutropenia

Elizabeth Calhoun, Sheila Brown, Mark S. Kozloff, Charles L. Bennett

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Healthcare personnel provide many uncompensated services in coordinating outpatient and home care services for patients with chemotherapy-associated febrile neutropenia. A time-and-motion study at a two-oncologist community practice was completed over a 3-month period. Time spent on various uncompensated tasks associated with the outpatient management of cancer chemotherapy-associated neutropenia and the associated estimated costs of this care were evaluated. Unit costs were based on 2003 practice-specific salary and fringe-benefit rates. Mean weekly time and cost estimates for management of chemotherapy-associated febrile neutropenia included 12.4 hours by physicians ($1,550), 4.7 hours by nurses ($108), 1.7 hours by medical assistants ($23), and 1.4 hours by phlebotomists ($27). Overall uncompensated outpatient care for management of febrile neutropenia averaged $1,708 per week, or $88,816 per year. Time-motion methodologies can be used to derive estimates of the uncompensated time required for coordination of chemotherapy-associated neutropenia management. This pilot study suggests that-for a small community oncology practice-these costs can be considerable.

Original languageEnglish (US)
Pages (from-to)293-296
Number of pages4
JournalCommunity Oncology
Volume2
Issue number4
StatePublished - Jul 2005
Externally publishedYes

Fingerprint

Febrile Neutropenia
Outpatients
Costs and Cost Analysis
Drug Therapy
Ambulatory Care
Neutropenia
Neoplasms
Uncompensated Care
Time and Motion Studies
Salaries and Fringe Benefits
Home Care Services
Nurses
Delivery of Health Care
Physicians

ASJC Scopus subject areas

  • Oncology

Cite this

Uncompensated costs associated with the outpatient management of cancer chemotherapy-associated febrile neutropenia. / Calhoun, Elizabeth; Brown, Sheila; Kozloff, Mark S.; Bennett, Charles L.

In: Community Oncology, Vol. 2, No. 4, 07.2005, p. 293-296.

Research output: Contribution to journalArticle

Calhoun, Elizabeth ; Brown, Sheila ; Kozloff, Mark S. ; Bennett, Charles L. / Uncompensated costs associated with the outpatient management of cancer chemotherapy-associated febrile neutropenia. In: Community Oncology. 2005 ; Vol. 2, No. 4. pp. 293-296.
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