Related Experiment Video
Updated: May 1, 2026

A Neonatal Imaging Model of Gram-Negative Bacterial Sepsis
Published on: August 12, 2020
A micro-costing model of neonatal intensive care from a tertiary Indian unit: feasibility and implications for
Kannan Venkatnarayan1, M Jeeva Sankar, Ashok Deorari
1WHO Collaborating Center for Training and Research in Newborn Care and ICMR Center for Advanced Research in Newborn Health, Newborn Health Knowledge Center, Division of Neonatology, Department of Pediatrics, and *Department of Preventive and Social Medicine, AIIMS, New Delhi, India. Correspondence to: Prof Vinod Paul, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi 110 029, India. vinodkpaul@hotmail.com.
Objective:
To calculate and compare costs of neonatal intensive care by micro-costing and gross-costing methods.
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.
Results:
Gross-costing 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.
Conclusion:
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.
Related Concept Videos
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Secondary Healthcare System
Tertiary Healthcare System
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...

