Cost Centre: From 1 Different Sources
An accounting device whereby all related costs attributable to some “financial centre” within an organization, such as a department, centre or programme, are segregated for accounting or reimbursement purposes.
A centre that may carry out promotive, protective, preventive, diagnostic, curative and rehabilitative health care activities for ambulant people.... health centre
Actual expenses incurred to provide a health care product or service. Cost can be divided into a number of types including: average cost: The average cost per unit; equals the total cost divided by the units of production. avoided cost: Cost caused by a health problem that is avoided by a health care intervention. direct cost: Cost borne by the health care system, the community and families, e.g. diagnosis and treatment costs. A cost that is identifiable directly with a particular activity, service or product. fixed cost: Costs that, within a defined period, do not vary with the quantity produced, e.g. overhead costs of maintaining a building. incremental cost: The difference between marginal costs of alternative interventions. indirect cost: Cost which cannot be identified directly with a particular activity, service or product of the programme experiencing the cost. Indirect costs are usually apportioned among the programme’s services in proportion to each service’s share of direct costs. intangible cost: The cost of pain and suffering resulting from a disease, condition or intervention. marginal cost: The additional cost required to produce an additional unit of benefit (e.g. unit of health outcome). operating cost: In the health field, the financial requirements necessary to operate an activity that provides health services. These costs normally include costs of personnel, materials, overheads, depreciation and interest. opportunity cost: The benefit foregone, or value of opportunities lost, by engaging resources in a service. It is usually quantified by considering the benefit that would accrue by investing the same resources in the best alternative manner. recurrent cost: An item of expenditure that recurs year after year, such as the remuneration of health workers and other staff; the cost of food and other goods and services; the cost of vaccines, medicines, appliances and other supplies; the replacement of equipment; and the maintenance of buildings and equipment. tangible cost: Objective elements in the production of care, i.e. number of personnel, beds, consumables, technologies, staff qualifications. total cost: The sum of all costs incurred in producing a set quantity of service.... cost
The personal cost of acute or chronic disease. The cost to the patient may be an economic, social or psychological cost or loss to himself, his family or community. The cost of illness may be reflected in absenteeism, productivity, response to treatment, peace of mind, quality of life, etc. It differs from health care costs in that this concept is restricted to the cost of providing services related to the delivery of health care, rather than the impact on the personal life of the patient. See “burden of disease”.... cost of illness
The systematic comparison, in monetary terms, of all the costs and benefits of proposed alternative schemes with a view to determining: which scheme or combination of schemes will contribute most to the achievement of predetermined objectives at a fixed level of investment; or the magnitude of the benefit that can result from schemes requiring the minimum investment. The resources required per unit of benefit must be determined, account being taken of the fact that costs and benefits accrue with time. For example, the cost of establishing a home and community care programme might be compared with the total cost of building residential facilities. Cost-benefit analysis can also be applied to specific medical tests and treatments.... cost-benefit analysis
The description ‘vasomotor’ refers to control of the muscular walls of blood vessels, particularly ARTERIES, dilating or constricting their diameters. The vasomotor centre is a group of neurons (see NEURON(E)) in the MEDULLA OBLONGATA of the BRAIN; they receive messages from sensory receptors in the circulatory system, and engineer re?ex alterations in the heart rate and blood-vessel diameters in order to adjust the blood pressure. The centre also receives transmission from other parts of the brain enabling emotions – fear or anger – to in?uence blood pressure. The vasomotor centre operates through the vasomotor nerves of the SYMPATHETIC NERVOUS SYSTEM and the PARASYMPATHETIC NERVOUS SYSTEM.... vasomotor centre
See “cost”.... average cost
See “cost”.... avoided cost
An ambulatory health care programme, usually serving a catchment area which has scarce or non-existent health services or a population with special health needs. These centres attempt to coordinate federal, state and local resources in a single organization capable of delivering both health and related social services to a defined population.... community health centre
An entity which provides comprehensive mental health services (principally ambulatory), primarily to individuals residing or employed in a defined catchment area.... community mental health centre
A set of steps to control or reduce inefficiencies in the consumption, allocation or production of health care services which contribute to higher than necessary costs.... cost containment
A determination of the least costly among alternative interventions that are assumed to produce equivalent outcomes.... cost minimization analysis
A case which is more costly to treat compared with other persons in a particular diagnosis-related group. Outliers also refer to any unusual occurrence of cost, cases which skew average costs or unusual procedures.... cost outlier
Payment method whereby a person is required to pay some health costs in order to receive medical care. The general set of financing arrangements whereby the consumer must pay out-of-pocket to receive care, either at the time of initiating care or during the provision of health care services, or both. Cost sharing can also occur when an insured person pays a portion of the monthly premium for health care insurance.... cost sharing
Recouping the cost of providing uncompensated care by increasing revenues from some payers to offset losses and lower net payments from other payers.... cost shifting
The relationship between the cost of an activity and the benefit that accrues from it.... cost-benefit
A form of analysis that seeks to determine the costs and effectiveness of a health intervention compared with similar alternative interventions to determine the relative degree to which they will obtain the desired health outcome(s).... cost-effectiveness analysis
The extent to which financial resources are being used as well as possible.... cost-efficiency
A determination of the economic impact of a disease or health condition, including treatment costs.... cost-of-illness analysis
Increase to a monthly long-term disability benefit, usually after the first year of payments. May be a flat percentage (e.g. 3%) or tied to changes in inflation.... cost-of-living adjustment (cola)
A facility, operated by a local authority, voluntary organization, geriatric centre or acute hospital, providing activities for older people. These activities, usually during the day for a determined period, are intended to promote independence and enhance living skills, and can include the provision of personal care and preparation of meals.... day care centre
A free-standing ambulatory surgery centre, independent of a hospital.... day surgical centre / clinic
See “day care centre”.... day therapy centre
See “cost”.... direct cost
See “cost”.... fixed cost
A facility specializing in services for older persons which include acute care, geriatric assessment, rehabilitation, medical and nursing services, therapy services and residential care.... geriatric centre
See “cost”.... incremental cost
See “cost”.... indirect cost
The cost of pain and suffering resulting from a disease, condition or intervention.... intangible cost
See “cost”.... marginal cost
See “community health centre”.... neighbourhood health centre
See “cost”.... operating cost
See “cost”.... opportunity cost
An approach to care that consciously adopts a patient’s perspective. This perspective can be characterized around dimensions such as respect for patients’ values, preferences and expressed needs; coordination and integration of care; information, communication and education; physical comfort, emotional support and alleviation of fear and anxiety; involvement of family and friends; or transition and continuity.... patient-centred care
See “cost”.... recurrent cost
A centre that provides a variety of onsite programmes (and sometimes outreach services) for older adults, including recreation, socialization, congregate meals, and some health services. Usually a good source of information about area programmes and services.... senior centre
Groups of neurons (see NEURON(E)), usually sited in the HYPOTHALAMUS and the BRAIN stem, that are the control centres for various essential body functions. Examples are: blood pressure, breathing, heart rate and temperature control. The centres are part of the body’s re?ex adjustments to the outside world and its internal environment and are essential in maintaining HOMEOSTASIS.... vital centres
n. (in neurology) a collection of neurons (nerve cells) whose activities control a particular function. The respiratory and cardiovascular centres, for example, are regions in the lower brainstem that control the movements of respiration and the functioning of the circulatory system, respectively.... centre
adj. (in electroencephalography) describing discharges that can be recorded synchronously from all parts of the brain. The source of this activity is in the *reticular formation of the midbrain. Centrencephalic epilepsy is associated with a congenital predisposition to seizures.... centrencephalic
(Sure Start Children’s Centre) a building housing a range of services to support children up to five years of age and their families, including childcare, early education, parenting advice, and access to health advice. Over 3 000 ‘Sure Start’-branded Children’s Centres were established under Labour governments from 1997 to 2010. Many centres have subsequently closed, with the result that provision is no longer universal across the UK. See also health inequalities.... children’s centre
(Rogerian therapy) a method of psychotherapy in which the therapist refrains from directing clients in what they should do and instead concentrates on communicating understanding and acceptance. Frequently the therapist reflects the clients’ own words or feelings back to them. The aim is to enable clients to solve their own problems.... client-centred therapy
(HSCIC) formerly, an executive nondepartmental public body set up in April 2013 to collect, analyse, and publish UK national health data and supply IT systems and services to health-care providers nationwide. It was rebranded as *NHS Digital in August 2016.... health and social care information centre
a medical centre offering free and fast access to health-care advice and treatment. The first centres were opened in 2000. They provide advice and treatment for minor injuries and illnesses as well as guidance on how to use NHS services. Currently, the NHS offers a mix of walk-in centres, urgent care centres, minor injury units, and urgent treatment centres, all with different levels of service. By the end of 2019, these will all be called urgent treatment centres.... nhs walk-in centre
an approach to health care that focuses on the needs of the individual care user, rather than providing a standardized response to their condition. The patient is encouraged to take an active role in discussing a health-care plan that reflects their own needs, circumstances, and values.... person-centred care
see children’s centre.... sure start children’s centre
see NHS walk-in centre.... urgent treatment centre
any of the collections of nerve cells in the brain that act as governing centres for different vital body functions – such as breathing, heart rate, blood pressure, temperature control etc. – making reflex adjustments according to the body’s needs. Most lie in the hypothalamus and brainstem.... vital centre
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