Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-15T16:39:26.319Z Has data issue: false hasContentIssue false
  • English
  • Français

Economic Evaluation of Neonatal Intensive Care: Which Variables Have to Be Known?

Published online by Cambridge University Press:  10 March 2009

John C. Sinclair
John C. Sinclair
Affiliation:
McMaster University, Hamilton
Get access Rights & Permissions [Opens in a new window]

Extract

An economic evaluation of a health care program seeks to investigate the relative costs and consequences of alternative strategies in health care by examining the values of the resources used and weighing them against the values of the outcomes. Because resources are finite, there are choices to be made about how best to use them. Thus, the concept of the value of resources that is applied in an economic evaluation is that of opportunity cost: since resources are finite, deploying them in one way means that a benefit is foregone in not having them available to pursue the best alternative. An economic evaluation of a health care program fundamentally is an exercise about choices, not simply about money.

Type
The Ethics of NIC
Information
International Journal of Technology Assessment in Health Care , Volume 7 , Supplement S1 , January 1991 , pp. 146 - 150
Copyright
Copyright © Cambridge University Press 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1.Berki, S. E., & Schneier, N. B.Frequency and cost of diagnosis-related group outliers among newborns. Pediatrics, 1987, 79, 874–81.CrossRefGoogle ScholarPubMed
2.Bose, C. L., LaPine, T. R., & Jung, A. L.Neonatal back-transport. Cost-effectiveness. Medical Care, 1985, 23, 14–19.CrossRefGoogle ScholarPubMed
3.Boyle, M. H., Torrance, G. W., Sinclair, J. C., & Horwood, S. P.Economic evaluation of neonatal intensive care of very-low-birth-weight infants. New England Journal of Medicine, 1983, 308, 1330–37.CrossRefGoogle ScholarPubMed
4.Budetti, P., McManus, P., Barrand, N., & Neinen, L. A.The costs and effectiveness of neonatal intensive care (Health Technology Care Study 10). Washington, D.C.: U.S. Congress, Office of Technology Assessment, 08 1981.Google Scholar
5.Chapalain, M. T. Perinatality: French cost-benefit studies and decisions on handicap and prevention. Ciba Foundation Symposium, 1978, 193–206.CrossRefGoogle Scholar
6.Cloney, D. L., & Donowitz, L. G.Overgown use for infection control in nurseries and neonatal intensive care units. American Journal of Obstetrics and Gynecology, 1986, 140, 680–83.Google ScholarPubMed
7.D'Angelo, L. J., & Irwin, L. R.Conservative management of placenta previa: A cost-benefit analysis. American Journal of Obstetrics and Gynecology, 1984, 149, 320–26.CrossRefGoogle ScholarPubMed
8.Dice, J. E., Burckart, G. J., Woo, J. T., & Helms, R. A.Standardized versus pharmacist-monitored individualized parenteral nutrition in low-birth-weight infants. American Journal of Hospital. Pharmacia, 1981, 38, 1487–89.Google ScholarPubMed
9.Drummond, M. F., Stoddart, G. L., & Torrance, G. W.Methods for the economic evaluation of health care programmes. Oxford: Oxford University Press, 1987, 18–32.Google Scholar
10.Elliott, J. P., O'Keeffe, D. F., & Freeman, R. K.Helicopter transportation of patients with obstetric emergencies in an urban area. American Journal of Obstetrics and Gynecology, 1982, 143, 157–62.CrossRefGoogle Scholar
11.Giacoia, G. P., Rutledge, D., & West, K.Factors affecting visitation of sick newborns. Clinical Pediatrics, 1985, 24, 259–62.CrossRefGoogle ScholarPubMed
12.Groff, D. B., Nagaraj, H. S., & Petsch, J. B.Inguinal hernias in premature infants operated on before discharge from the neonatal intensive care unit. Archives of Surgery, 1985, 120, 962–63.CrossRefGoogle ScholarPubMed
13.Hernandez, J. A., Offutt, J., & Butterfield, L. J.The cost of care of the less-than-1000-gram infant. Clinics in Perinatology, 1986, 13, 461–76.CrossRefGoogle ScholarPubMed
14.Holmqvist, P., & Svenningsen, N. W.Evaluation of a one-year Swedish neonatal care population. Journal of Perinatal Medicine, 1985, 13, 87–96.CrossRefGoogle ScholarPubMed
15.Janik, D. S., Swarner, O. W., Henriksen, K. M., & Wyman, M. L.A computerized single entry system for recording and reporting data on high-risk newborn infants. Journal of Pediatrics, 1978, 93, 519–23.CrossRefGoogle ScholarPubMed
16.John, E., Lee, K., & Li, G. M.Cost of neonatal intensive care. Australian Paediatric Journal, 1983, 19, 152–56.Google ScholarPubMed
17.Kaufman, S. L., & Shepard, D. S.Costs of neonatal intensive care by day of stay. Inquiry, 1982, 19, 167–78.Google ScholarPubMed
18.Korenbrot, C. C., Aalto, L. H., & Laros, R. K. Jr.The cost effectiveness of stopping preterm labor with beta-adrenergic treatment. New England Journal of Medicine, 1984, 310, 691–96.CrossRefGoogle ScholarPubMed
19.Lagoe, R. J., Milliren, J. W., & Baader, M. J.Impact of selected diagnosis-related groups on regional neonatal intensive care. Pediatrics, 1986, 77, 627–32.CrossRefGoogle Scholar
20.Leveno, K. J., Cunningham, F. G., Roark, M. L., Nelson, S. D., & Williams, M. L.Prenatal care and the low birth weight infant. Obstetrics and Gynecology, 1985, 66, 599–605.Google ScholarPubMed
21.McCarthy, J. T., Koops, B. L., Honeyfield, P. R., & Butterfield, L. J.Who pays the bill for neonatal intensive care? Journal of Pediatrics, 1979, 95, 755–61.CrossRefGoogle ScholarPubMed
22.Monset-Couchard, M., Jaspar, M. L., de Bethmann, O., & Relier, J. P.Costs of the initial care of children with birth weight less than or equal to 1500 g in 1981. Archives Françoises de Pédiatrie, 1984, 41, 579–85.Google ScholarPubMed
23.Moore, T. R., Oriegel, W., Key, T. C., & Resnik, R.The perinatal and economic impact of prenatal care in a low-socioeconomic population. American Journal of Obstetrics and Gynecology, 1986, 154, 29–33.CrossRefGoogle Scholar
24.Neonatal intensive care for low birthweight infants: Costs and effectiveness(Health Technology Case Study 38). Washington, DC: U.S. Congress, Office of Technology Assessment, 12 1987.Google Scholar
25.Newns, B., Drummond, M. F., Durbin, G. M., & Culley, P.Costs and outcomes in a regional neonatal intensive care unit. Archives of Disease in Childhood, 1984, 59, 1064–67.CrossRefGoogle Scholar
26.Orstead, C., Arrington, D., Kamath, S. K., Olsson, R., & Kohrs, M. B.Efficacy of prenatal nutrition counseling: weight gain, infant birth weight, and cost-effectiveness. Journal of the American Dietetic Association, 1985, 85, 40–45.CrossRefGoogle ScholarPubMed
27.Papiernik, E.Social cost of twin births. Acta Geneticae Medicae et Gemellologiae (Roma), 1983, 32, 105–11.CrossRefGoogle ScholarPubMed
28.Peevy, K. J., & Hall, M. W.Transcutaneous oxygen monitoring: Economic impact on neonatal care. Pediatrics, 1985, 75, 1065–67.CrossRefGoogle ScholarPubMed
29.Phibbs, C. S., Phibbs, R. H., Pomerance, J. J., & Williams, R. L.Alternative to diagnosis related groups for newborn intensive care. Pediatrics, 1986, 78, 829–36.CrossRefGoogle ScholarPubMed
30.Phibbs, C. S., Williams, R. L., & Phibbs, R. H.Newborn risk factors and costs of neonatal intensive care. Pediatrics, 1981, 68, 313–21.CrossRefGoogle ScholarPubMed
31.Poland, R. L., Bollinger, R. O., Bedard, M. P., & Cohen, S. N.Analysis of the effects of applying federal diagnosis-related grouping (DRG) guidelines to a population of high-risk newborn infants. Pediatrics, 1985, 76, 104–09.CrossRefGoogle ScholarPubMed
32.Pomerance, J. J., Ukrainski, C. T., Ukra, T., Henderson, D. H., Nash, A. H., & Meredith, J. L.Cost of living for infants weighing 1000 grams or less at birth. Pediatrics, 1978, 61, 908–10.CrossRefGoogle ScholarPubMed
33.Powers, W. F., & Miller, T. C.Bed rest in twin pregnancy: Identification of a critical period and its cost implications. American Journal of Obstetrics and Gynecology, 1979,134, 23–29.CrossRefGoogle ScholarPubMed
34.Prager, D. A., Stone, D. A., & Rose, D. N.Hearing loss screening in the neonatal intensive care unit: Auditory brain stem response versus Crib-O-Gram; a cost-effectiveness analysis. Ear Hear, 1987, 8, 213–16.CrossRefGoogle ScholarPubMed
35.Resnick, M. B., Ariet, M., Carter, R. L., Fletcher, J. W., Evans, J. H., Furlough, R. R., Ausbon, W. W., & Curran, J. S.Prospective pricing system for tertiary neonatal intensive care. Pediatrics, 1986, 78, 820–28.CrossRefGoogle ScholarPubMed
36.Ryan, S., Sees, A., & Congdon, P.Costs of neonatal care. Archives of Disease in Childhood, 1988, 63, 303–06.CrossRefGoogle ScholarPubMed
37.Sandhu, B., Stevenson, R. C., Cooke, R. W., & Pharoah, P. O.Cost of neonatal intensive care for very-low birthweight infants. Lancet, 1986, i, 600–03.CrossRefGoogle Scholar
38.Schramm, W. F.Prenatal participation in WIC related Medicaid costs for Missouri newborns: 1982 update. Public Health Reports, 1986, 101, 607–15.Google ScholarPubMed
39.Schramm, W. F.WIC prenatal participation and its relationship to newborn Medicaid costs in Missouri: A cost/benefit analysis. American Journal of Public Health, 1985, 75, 851–57.CrossRefGoogle ScholarPubMed
40.Shannon, D. C., Crone, R. K., Todres, I. D., & Krishnamoorthy, K. S.Survival, cost of hospitalization, and prognosis in infants critically ill with respiratory distress syndrome requiring mechanical ventilation. Critical Care Medicine, 1981, 9, 94–97.CrossRefGoogle ScholarPubMed
41.Shenassa, H., Sankaran, K., Duncan, W., Tyrell, M., & Bharadwaj, B.Surgical ligation of patent ductus arteriosus in a neonatal intensive care setting is safe and cost effective. Canadian Journal of Cardiology, 1986, 2, 353–55.Google Scholar
42.Showstack, J. A., Stone, M. H., & Schroeder, S. A.The role of changing clinical practices in the rising costs of hospital care. New England Journal of Medicine, 1985, 313, 1201–07.CrossRefGoogle ScholarPubMed
43.Smith, M. A., & Baum, J. D.Costs of visiting babies in special care baby units. Archives of Disease in Childhood, 1983, 58, 56–59.CrossRefGoogle ScholarPubMed
44.Thilo, E. H., Comito, J., & McCulliss, D.Home oxygen therapy in the newborn. Costs and parental acceptance. American Journal of Diseases of Children, 1987, 141, 766–68.CrossRefGoogle ScholarPubMed
45.Walker, D. J., Vohr, B. R., & Oh, W.Economic analysis of regionalized neonatal care for very low-birth-weight infants in the state of Rhode Island. Pediatrics, 1985, 76, 69–74.CrossRefGoogle ScholarPubMed
46.Walker, D. J., Feldman, A., Vohr, B. R., & Oh, W.Cost-benefit analysis of neonatal intensive care for infants weighing less than 1000 grams at birth. Pediatrics, 1984, 74, 20–25.CrossRefGoogle Scholar
47.Watson, D. C. Jr., Bradley, L. M., Midgley, F. M., & Scott, L. P.Costs and results of cardiac operations in infants less than 4 months old. Are they worthwhile? Journal of Thoracic Cardiovascular Surgery, 1986, 91, 667–73.CrossRefGoogle ScholarPubMed
48.Yu, V. Y., & Bajuk, B.Medical expenses of neonatal intensive care for very low birthweight infants. Australian Paediatric Journal, 1981, 17, 183–85.Google ScholarPubMed
49.Zarif, M. A., Rest, J., & Vidyasagar, D.Early retransfer: A method of optimal bed utilization of NICU beds. Critical Care Medicine, 1979, 7, 327–29.CrossRefGoogle ScholarPubMed