In the present economic climate and with increasing expenditure on neonatal intensive care, there has been a demand for economic evaluation and justification of neonatal intensive care programmes. This study assesses the inhospital costs of neonatal intensive care. Fixed and variable costs were calculated for services and uses of an Intensive/Special Care Nursery for the year 1985 and corrected to 1987 Australian dollar equivalents. Establishing a new neonatal intensive care unit of 43 costs in an existing hospital with available floor space including operating costs for a year were estimated in Australian dollars for 1987 at $6,408,000. Daily costs per baby for each were $1282 ventilator, $481 intensive, $293 transitional and $287 recovery, respectively. The cost per survivor managed in the Intensive/Special Care Nursery in 1985 showed the expected inverse relationship to birthweight being $2400 for greater than 2500 g, $4050 for 2000-2500 g, $9200 for 1500-1999 g, $23,900 for 1000-1499 g and $63,450 for less than 1000 g. Further analysis for extremely low birthweight infants managed in 1986 and 1987 demonstrated costs per survivor of $128,400 for infants less than 800 g birthweight and $43,950 for those 800-999 g. This methodology might serve as a basis for further accounting and cost-evaluation exercises.
{"title":"Cost-analysis of neonatal intensive and special care.","authors":"D I Tudehope, W Lee, F Harris, C Addison","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the present economic climate and with increasing expenditure on neonatal intensive care, there has been a demand for economic evaluation and justification of neonatal intensive care programmes. This study assesses the inhospital costs of neonatal intensive care. Fixed and variable costs were calculated for services and uses of an Intensive/Special Care Nursery for the year 1985 and corrected to 1987 Australian dollar equivalents. Establishing a new neonatal intensive care unit of 43 costs in an existing hospital with available floor space including operating costs for a year were estimated in Australian dollars for 1987 at $6,408,000. Daily costs per baby for each were $1282 ventilator, $481 intensive, $293 transitional and $287 recovery, respectively. The cost per survivor managed in the Intensive/Special Care Nursery in 1985 showed the expected inverse relationship to birthweight being $2400 for greater than 2500 g, $4050 for 2000-2500 g, $9200 for 1500-1999 g, $23,900 for 1000-1499 g and $63,450 for less than 1000 g. Further analysis for extremely low birthweight infants managed in 1986 and 1987 demonstrated costs per survivor of $128,400 for infants less than 800 g birthweight and $43,950 for those 800-999 g. This methodology might serve as a basis for further accounting and cost-evaluation exercises.</p>","PeriodicalId":75574,"journal":{"name":"Australian paediatric journal","volume":"25 2","pages":"61-5"},"PeriodicalIF":0.0,"publicationDate":"1989-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13875011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
With the declining incidence of tuberculosis, childhood tuberculosis has become an uncommon disease in Australia. This study examines tends in childhood tuberculosis in the state of Victoria, Australia, over the period 1970-86. There was a decline in the incidence of pulmonary disease from 2.76 cases per 100,000 population in the period 1970-76 to 1.97 in the period 1980-86 (P less than 0.005). Non-pulmonary tuberculosis continued at a constant rate throughout the 17 year period. During the period of the study, 381 cases of pulmonary tuberculosis and 79 cases of non-pulmonary tuberculosis (most of which affected lymph nodes) were encountered in a total of 460 cases. Of these, 84 (18%) cases occurred in Indo-Chinese refugees.
{"title":"Childhood tuberculosis in Victoria, 1970-86.","authors":"E K Mulholland, G L Gilbert, R E Kempster","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With the declining incidence of tuberculosis, childhood tuberculosis has become an uncommon disease in Australia. This study examines tends in childhood tuberculosis in the state of Victoria, Australia, over the period 1970-86. There was a decline in the incidence of pulmonary disease from 2.76 cases per 100,000 population in the period 1970-76 to 1.97 in the period 1980-86 (P less than 0.005). Non-pulmonary tuberculosis continued at a constant rate throughout the 17 year period. During the period of the study, 381 cases of pulmonary tuberculosis and 79 cases of non-pulmonary tuberculosis (most of which affected lymph nodes) were encountered in a total of 460 cases. Of these, 84 (18%) cases occurred in Indo-Chinese refugees.</p>","PeriodicalId":75574,"journal":{"name":"Australian paediatric journal","volume":"25 1","pages":"31-4"},"PeriodicalIF":0.0,"publicationDate":"1989-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13869899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A sense of balance.","authors":"H M Douglas","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75574,"journal":{"name":"Australian paediatric journal","volume":"25 1","pages":"52"},"PeriodicalIF":0.0,"publicationDate":"1989-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13869902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dry bed training.","authors":"E A Mitchell, M Sinclair","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75574,"journal":{"name":"Australian paediatric journal","volume":"25 1","pages":"52-3"},"PeriodicalIF":0.0,"publicationDate":"1989-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13870538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1989-01-01DOI: 10.1007/978-3-319-91280-6_301452
H. Douglas
{"title":"A sense of balance.","authors":"H. Douglas","doi":"10.1007/978-3-319-91280-6_301452","DOIUrl":"https://doi.org/10.1007/978-3-319-91280-6_301452","url":null,"abstract":"","PeriodicalId":75574,"journal":{"name":"Australian paediatric journal","volume":"25 1 1","pages":"52"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51031138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Australian College of Paediatrics. Policy statement. AIDS.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75574,"journal":{"name":"Australian paediatric journal","volume":"24 6","pages":"326-9"},"PeriodicalIF":0.0,"publicationDate":"1988-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14370173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Paediatric Research Society of Australia. Abstracts of papers presented at the 21st annual scientific meeting. May 1988.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75574,"journal":{"name":"Australian paediatric journal","volume":"24 6","pages":"398-407"},"PeriodicalIF":0.0,"publicationDate":"1988-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14370183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Here to observe: a bicentenary wayzgoose for the first medical journalism in Australia.","authors":"J Peam","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75574,"journal":{"name":"Australian paediatric journal","volume":"24 6","pages":"369-70"},"PeriodicalIF":0.0,"publicationDate":"1988-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14203929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Allocation of resources in perinatal medicine: an editorial discussion.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75574,"journal":{"name":"Australian paediatric journal","volume":"24 6","pages":"322-5"},"PeriodicalIF":0.0,"publicationDate":"1988-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14370172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Australian College of Paediatrics. Abstracts of papers presented at the annual scientific meeting. May 1988.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75574,"journal":{"name":"Australian paediatric journal","volume":"24 6","pages":"384-97"},"PeriodicalIF":0.0,"publicationDate":"1988-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14370182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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