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Neonatal intensive care and cost effectiveness.

G W Chance1

  • 1St. Joseph's Health Centre, London, Ont.

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
|November 15, 1988
PubMed
Summary

Neonatal intensive care has halved infant mortality for low birth weight newborns but is costly. Despite cost concerns, its value is favorable, especially for infants weighing 1000-1500g.

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Area of Science:

  • Neonatal medicine
  • Health economics

Background:

  • Neonatal intensive care has significantly reduced mortality rates for newborns weighing less than 1500 grams.
  • Despite improved outcomes, the high cost of neonatal intensive care has led to discussions about cost containment.

Purpose of the Study:

  • To review the literature on the cost-effectiveness of neonatal intensive care.
  • To compare the costs of neonatal intensive care with other expensive medical programs.

Main Methods:

  • Literature review of studies on neonatal intensive care costs.
  • Analysis of cost-effectiveness data for neonatal intensive care and other medical programs.

Main Results:

  • Neonatal intensive care costs compare favorably, particularly for infants with birth weights between 1000 and 1500 grams.
  • The overall prevalence of infant disabilities has not significantly changed despite advances in neonatal care.

Conclusions:

  • Decisions to limit neonatal intensive care based on birth weight or gestational age require careful consideration.
  • Further research is needed on the long-term outcomes of very low birth weight infants and cost-effectiveness of medical programs.
Keywords:
Health Care and Public HealthProfessional Patient Relationship

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