A micro-costing model of neonatal intensive care from a tertiary Indian unit: feasibility and implications for insurance.

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.

journal_name

Indian Pediatr

journal_title

Indian pediatrics

authors

Venkatnarayan K,Sankar MJ,Deorari A,Krishnan A,Paul VK

doi

10.1007/s13312-014-0376-1

subject

Has Abstract

pub_date

2014-03-01 00:00:00

pages

215-7

issue

3

eissn

0019-6061

issn

0974-7559

journal_volume

51

pub_type

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