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Treatment cost for typhoid fever at two hospitals in Kolkata, India.

Sur D, Chatterjee S, Riewpaiboon A, Manna B, Kanungo S, Bhattacharya SK - J Health Popul Nutr (2009)

Bottom Line: Eighty-one percent was treated at the outpatient department.The average cost of treating children, adults, and all patients was US$ 16.72, 72.71, and 20.77 respectively (in 2004 prices).Recalculation based on 80% occupancy rate in inpatient wards (following the recommendation of the World Health Organization) found that the cost of treating children, adults, and all patients was US$ 14.53, 36.44, and 16.11 respectively.

View Article: PubMed Central - PubMed

Affiliation: National Institute of Cholera and Enteric Diseases, Kolkata, India.

ABSTRACT
The purpose of this study was to estimate treatment cost for typhoid fever at two hospitals in Kolkata, India. This study was an incidence-based cost-of-illness analysis from the providers' perspective. Micro-costing approach was employed for calculating patient-specific data. Unit costs of medical services used in the calculation were directly measured from the study hospital by standard method. The study hospitals were selected based on accessibility to data and cooperation. Eighty-three Widal-positive and/or culture-confirmed patients with typhoid fever during November 2003-April 2006 were included in the study. Most (93%) patients were children. Eighty-one percent was treated at the outpatient department. The average duration of hospitalization for child and adult patients was 8.4 and 4.2 days respectively. The average cost of treating children, adults, and all patients was US$ 16.72, 72.71, and 20.77 respectively (in 2004 prices). Recalculation based on 80% occupancy rate in inpatient wards (following the recommendation of the World Health Organization) found that the cost of treating children, adults, and all patients was US$ 14.53, 36.44, and 16.11 respectively.

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Steps of unit cost calculation
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Figure 2: Steps of unit cost calculation

Mentions: Cost-of-illness is composed of direct medical, non-medical, and indirect costs (7). However, as results of the present study were analyzed from the provider's perspective, it covered only the provider's cost, i.e. direct medical cost. Direct medical cost is healthcare-related costs directly spent for the prevention, detection, treatment, continuing care, rehabilitation, and terminal care of patients (7). Direct medical cost was calculated by multiplying the quantity of medical services consumed by their unit costs. A micro-costing bottom-up approach was used for calculating the unit cost of medical services (Fig. 1) (8). The calculation was composed of five steps: organization analysis and cost centre classification, determination of direct cost, determination of indirect cost, determination of full cost, and calculating unit cost of medical services (Fig. 2).


Treatment cost for typhoid fever at two hospitals in Kolkata, India.

Sur D, Chatterjee S, Riewpaiboon A, Manna B, Kanungo S, Bhattacharya SK - J Health Popul Nutr (2009)

Steps of unit cost calculation
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2928117&req=5

Figure 2: Steps of unit cost calculation
Mentions: Cost-of-illness is composed of direct medical, non-medical, and indirect costs (7). However, as results of the present study were analyzed from the provider's perspective, it covered only the provider's cost, i.e. direct medical cost. Direct medical cost is healthcare-related costs directly spent for the prevention, detection, treatment, continuing care, rehabilitation, and terminal care of patients (7). Direct medical cost was calculated by multiplying the quantity of medical services consumed by their unit costs. A micro-costing bottom-up approach was used for calculating the unit cost of medical services (Fig. 1) (8). The calculation was composed of five steps: organization analysis and cost centre classification, determination of direct cost, determination of indirect cost, determination of full cost, and calculating unit cost of medical services (Fig. 2).

Bottom Line: Eighty-one percent was treated at the outpatient department.The average cost of treating children, adults, and all patients was US$ 16.72, 72.71, and 20.77 respectively (in 2004 prices).Recalculation based on 80% occupancy rate in inpatient wards (following the recommendation of the World Health Organization) found that the cost of treating children, adults, and all patients was US$ 14.53, 36.44, and 16.11 respectively.

View Article: PubMed Central - PubMed

Affiliation: National Institute of Cholera and Enteric Diseases, Kolkata, India.

ABSTRACT
The purpose of this study was to estimate treatment cost for typhoid fever at two hospitals in Kolkata, India. This study was an incidence-based cost-of-illness analysis from the providers' perspective. Micro-costing approach was employed for calculating patient-specific data. Unit costs of medical services used in the calculation were directly measured from the study hospital by standard method. The study hospitals were selected based on accessibility to data and cooperation. Eighty-three Widal-positive and/or culture-confirmed patients with typhoid fever during November 2003-April 2006 were included in the study. Most (93%) patients were children. Eighty-one percent was treated at the outpatient department. The average duration of hospitalization for child and adult patients was 8.4 and 4.2 days respectively. The average cost of treating children, adults, and all patients was US$ 16.72, 72.71, and 20.77 respectively (in 2004 prices). Recalculation based on 80% occupancy rate in inpatient wards (following the recommendation of the World Health Organization) found that the cost of treating children, adults, and all patients was US$ 14.53, 36.44, and 16.11 respectively.

Show MeSH
Related in: MedlinePlus