A micro-costing model of neonatal intensive care from a tertiary Indian unit: Feasibility and implications for insurance
| Autor: | Ashok K. Deorari, Kannan Venkatnarayan, M. Jeeva Sankar, Anand Krishnan, Vinod Paul |
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| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Insurance Health Neonatal intensive care unit Maternal and child health business.industry Infant Newborn Health Care Costs Hospital Charges Unit (housing) Tertiary Care Centers Models Economic Intensive care Micro costing Pediatrics Perinatology and Child Health Pediatric surgery Costs and Cost Analysis Intensive Care Neonatal medicine Humans Intensive care medicine business health care economics and organizations |
| Zdroj: | Indian Pediatrics. 51:215-217 |
| ISSN: | 0974-7559 0019-6061 |
| DOI: | 10.1007/s13312-014-0376-1 |
| Popis: | To calculate and compare costs of neonatal intensive care by micro-costing and gross-costing 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.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.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. |
| Databáze: | OpenAIRE |
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