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

作者：Venkatnarayan Kannan; Sankar Jeeva; Deorari Ashok; Krishnan Anand; Paul Vinod K^*

来源：Indian Pediatrics, 2014, 51(3): 215-217.

DOI：10.1007/s13312-014-0376-1

• Cost
• Neonatal intensive care unit
• Reference unit prices

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.
Grosscosting 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.

• 出版日期2014-3
• 单位河北医科大学