Kannan Venkatnarayan1, M Jeeva Sankar, Ashok Deorari, Anand Krishnan, Vinod K Paul. 1. WHO Collaborating Center for Training and Research in Newborn Care and ICMR Center for Advanced Research in Newborn Health, Newborn Health Knowledge Center, Division of Neonatology, Department of Pediatrics, and *Department of Preventive and Social Medicine, AIIMS, New Delhi, India. Correspondence to: Prof Vinod Paul, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi 110 029, India. vinodkpaul@hotmail.com.
Abstract
OBJECTIVE: To calculate and compare costs of neonatal intensive care by micro-costing and gross-costing methods. METHODS: The costs of resources of a tertiary care neonatal intensive care unit were estimated by the two methods to arrive at specific costs per diagnosis related categories for 33 neonates followed-up prospectively. RESULTS: Gross-costing as compared to micro-costing resulted in higher cost per bed (Rs 6315 vs. Rs 4969) and wide variations of costs (-34.8% to +13.4%). Intensity of interventions, relative stay in neonatal intensive care unit compared to the step-down nursery, and total length of hospital admission accounted for these variations. CONCLUSION: Estimates based on micro-costing arrived in this study may be used as a starting point in developing assumptions for insurance models covering neonatal intensive care.
OBJECTIVE: To calculate and compare costs of neonatal intensive care by micro-costing and gross-costing methods. METHODS: The costs of resources of a tertiary care neonatal intensive care unit were estimated by the two methods to arrive at specific costs per diagnosis related categories for 33 neonates followed-up prospectively. RESULTS: Gross-costing as compared to micro-costing resulted in higher cost per bed (Rs 6315 vs. Rs 4969) and wide variations of costs (-34.8% to +13.4%). Intensity of interventions, relative stay in neonatal intensive care unit compared to the step-down nursery, and total length of hospital admission accounted for these variations. CONCLUSION: Estimates based on micro-costing arrived in this study may be used as a starting point in developing assumptions for insurance models covering neonatal intensive care.
Authors: Zuzana Špacírová; David Epstein; Leticia García-Mochón; Joan Rovira; Antonio Olry de Labry Lima; Jaime Espín Journal: Eur J Health Econ Date: 2020-01-20