Table 3

Cost items of each unit of analysis contributing to total hospitalisation cost of elective PCI at all centres

Total cost of cost item (Malaysian Ringgit)Centre ICentre IICentre IIICentre IVCentre V
CW admissionInpatientDay care
Direct medical Labour666 064.92874 136.641 340 625.80345 683.731 244 978.021 333 604.78
Capital382 311.3994 791.64193 787.82250 095.6286 215.03222 997.80
Consumable116 035.54214 708.3464 321.2947 716.5319 857.0263 584.90
Medication1 055 939.18287 242.14558 577.9662 189.01575 258.5512 697.27
Overhead Utility87 132.8397 277.64124 948.9562 473.1711 603.16154 201.25
Dietary26 075.0095 143.2758 374.6043 305.0026 269.15118 721.94
Hospital support83 040.4335 375.00222 476.63111 235.9952 784.55159 664.13
Ancillary support420 404.41106 302.47622 613.16461 883.4780 074.16126 005.76
Total cost of CW2 837 003.701 804 977.143 185 726.211 384 582.522 097 039.64 2 191 477.81
Number of CW bed days 3129 2786 3892 2887 2526 3682
Average cost per bed day906.68647.87818.53479.59830.18595.19
Average cost per admission, A 2720.04 (19.0%) 1943.62(13.4%) *1685.09 (14.7%) 2490.55 (19.3%) 1785.56 (12.6%)
Cardiac CL utilisation
Direct medical Labour878 721.52880 833.45778 561.21500 037.882 530 478.96
Capital2 839 335.96614 370.96687 789.25782 479.783 619 363.29
Consumable201 404.15359 953.93398 523.57334 733.315 130 845.80
Overhead Utility114 473.4022 559.1149 302.6615 417.61109 094.76
Hospital support109 096.8934 634.5987 785.3770 137.06112 959.66
Total cost of CL4 143 031.921 912 352.042 001 962.061 702 805.6411 502 742.46
Number of CL procedures 1084 1118 1485 940 2709
Average cost per CL utilisation, B 3821.99 (26.7%) 1710.51 (11.8%) 1348.13 (11.8%) 1811.50 (14.1%) 4246.12 (29.9%)
Total cost of PCI consumables4 504 850.002 778 554.002 379 464.502 152 343.5012 743 046.50
Number of PCI procedures 580 257 282 251 1558
Average cost of PCI consumables, C 7766.98 (54.3%) 10 811.49 (74.7%) 8437.82 (73.6%) 8575.07 (66.6%) 8179.11 (57.6%)
Average cost of PCI procedure in CL, B+C 11 588.97 (81.0%) 12 522.00 (86.6%) 9785.95 (85.3%) 10 386.57 (80.7%) 12 425.23 (87.4%)
Total hospitalisation cost, A+B+C 14 309.01 (100%) 14 465.64 (100%) 11 471.04 (100%) 12 877.11 (100%) 14 210.79 (100%)
  • * Weighted admission cost was calculated for centre III based on the ratio of elective PCI patients admitted to inpatient ward versus day care.

  • CL, catheterisation laboratory; CW, cardiac ward; PCI, percutaneous coronary intervention.