37 cost effectiveness of neonatal intensive care (nic)

ABSTRACT The fully allocated costs of hospital care from birth to final discharge were determined and compared to survivorship in two cohorts of <1500g birth weight infants. Study infants

included all 500 to 1499g babies liveborn in Hamilton-Wentworth from 1964-69 and 1973-77 (before and after the introduction of the McMaster Regional Perinatal Program). Survivors numbered

157/376 (42%) and 251/416 (60%). For the ascertainment of costs, two random samples, stratified by birth weight and outcome, were selected: 77/376 infants (20%) and 83/416 (20%) from ′64-69

and ′73-77 respectively. Cohort costs in 1978 dollars amounted to $1299490 (′64-69) and $5800896 (′73-77). After making the cohorts equal in size, the following comparisons were made: For

the defined costs and effects the post NIC period is both more costly (by $4363163) and more effective (by 77.3 survivors) than the pre-NIC period, resulting in a cost of $56445 per

additional survivor. In deciding whether NIC is a good health care investment, it is necessary to compare these results to comparably measured costs and effects from alternative programs

offered by the health care system. ARTICLE PDF AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * McMaster Univ., Dept. of Pediatrics and Faculty of Business, Hamilton, Ontario, Canada Michael H

Boyle, George W Torrance, Sargent P Horwood & John C Sinclair Authors * Michael H Boyle View author publications You can also search for this author inPubMed Google Scholar * George W

Torrance View author publications You can also search for this author inPubMed Google Scholar * Sargent P Horwood View author publications You can also search for this author inPubMed Google

Scholar * John C Sinclair View author publications You can also search for this author inPubMed Google Scholar RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS

ARTICLE Boyle, M., Torrance, G., Horwood, S. _et al._ 37 COST EFFECTIVENESS OF NEONATAL INTENSIVE CARE (NIC). _Pediatr Res_ 15 (Suppl 4), 446 (1981).

https://doi.org/10.1203/00006450-198104001-00046 Download citation * Issue Date: 01 April 1981 * DOI: https://doi.org/10.1203/00006450-198104001-00046 SHARE THIS ARTICLE Anyone you share the

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