Neonatal Intensive Care: Cost-Benefit Analysis

PEDIATRICS ◽  
1985 ◽  
Vol 75 (4) ◽  
pp. 798-799
Author(s):  
DONALD N. MANGRAVITE
Keyword(s):  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
Tertiary Level ◽  
Benefit Analysis ◽  
Costs And Benefits ◽  
Benefit Ratio ◽  
Comprehensive Examination ◽  
Cost Benefit Ratio

To the Editor.— I would like to commend Walker and colleagues1 for their comprehensive examination of the costs and benefits of neonatal intensive care for infants weighing less than 1,000 grams. However, examining only one group of infants served by a tertiary neonatal intensive care unit (NICU) can be misleading. By definition, a tertiary level NICU is designed to provide a broad range of services to infants with a wide variety of illnesses. As is true for any system expected to provide a broad range of services, some services will result in a more favorable cost-benefit ratio than others.

Neonatal Intensive Care: Cost-Benefit Analysis

PEDIATRICS ◽  
1985 ◽  
Vol 75 (4) ◽  
pp. 799-799
Author(s):  
LEHMAN E. BLACK ◽  
RICHARD J. DAVID ◽  
DAVID G. MCLONE
Keyword(s):  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Very Low Birth Weight ◽  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
Benefit Analysis ◽  
Net Worth ◽  
Low Birth Weight Babies ◽  
Pain And Suffering ◽  
Lifetime Earnings

To the Editor.— The article by Walker et al1 supports an idea that is becoming commonplace in the medical literature: preserving the lives of certain segments of the population (in this case very low-birth-weight babies) may not be worthwhile, not because we are inflicting pain and suffering on them by our treatments, but because they may constitute a net fiscal burden on society. These authors are even more explicit than most, using a cost-benefit analysis that compares the costs of neonatal intensive care and future medical and educational services to an infant's "expected lifetime earnings" to determine a baby's net worth.

Cost-Benefit Analysis of Neonatal Intensive Care for Infants Weighing Less Than 1,000 Grams at Birth

PEDIATRICS ◽  
1984 ◽  
Vol 74 (1) ◽  
pp. 20-25 ◽  
Author(s):  
Donna-Jean B. Walker ◽  
Allan Feldman ◽  
Betty R. Vohr ◽  
William Oh
Keyword(s):  
Intensive Care ◽  
Birth Weight ◽  
Rhode Island ◽  
Neonatal Intensive Care ◽  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
Inverse Correlation ◽  
Benefit Analysis ◽  
Cost Information ◽  
Lifetime Earnings

Cost-benefit analysis was performed on the care of 247 infants weighing between 500 and 999 g at birth, admitted to Women and Infants Hospital of Rhode Island between January 1977 and December 1981. The neonatal mortality was 68%. Eighty-seven percent of the survivors were evaluated neurodevelopmentally for 1 to 5 years: 74% were normal or minimally impaired, 10% were moderately impaired, and 16% were severely handicapped. Using these data in conjunction with cost information obtained from the hospital and therapeutic care facilities for handicapped children, total lifetime costs for the care of these infants were estimated. In 1982 dollars, present values of costs ranged from $362,992 per survivor for those weighing between 600 and 699 g to $40,647 per survivor for those weighing between 900 and 999 g, resulting in an inverse correlation between cost per survivor and birth weight (P < .001). We estimated present values of expected lifetime earnings per survivor, with a range of zero earnings for infants between 500 and 699 g, to $77,084 for those with birth weight of 900 to 999 g. It is concluded that from the standpoint of cost-benefit analysis as was used for this study population, neonatal intensive care may not be justifiable for infants weighing less than 900 g at birth.

Neonatal Intensive Care: Cost-Benefit Analysis

PEDIATRICS ◽  
1985 ◽  
Vol 75 (4) ◽  
pp. 798-798
Author(s):  
DANIEL R. NEUSPIEL
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Health Services ◽  
Neonatal Intensive Care ◽  
Cost Benefit Analysis ◽  
Human Life ◽  
Cost Benefit ◽  
Benefit Analysis ◽  
Economic Productivity ◽  
Severely Handicapped

To the Editor.— Walker et al1 have contributed to the recent plethora of studies applying cost-benefit analysis to the provision of health care. In using this dangerous method to determine the value of neonatal intensive care, they legitimize the acceptance of cost criteria for the rationing of health services. This approach reduces the measurement of human life to economic productivity and accepts the unproven contention of dwindling societal resources available for health care. Walker et al divided their subjejcts according to their neurodevelopmental evaluation into four categories: normal, (midly imapired, moderately impaired, or severely handicapped).

Hostile Takeovers and Anti-takeover Defenses in the Russian Corporate Market

2007 ◽  
pp. 70-84 ◽  
Author(s):  
E. Demidova
Keyword(s):  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
Benefit Analysis ◽  
Costs And Benefits ◽  
Hostile Takeovers ◽  
Russian Market ◽  
Takeover Defenses ◽  
The Cost ◽  
European Markets

This article analyzes definitions and the role of hostile takeovers at the Russian and European markets for corporate control. It develops the methodology of assessing the efficiency of anti-takeover defenses adapted to the conditions of the Russian market. The paper uses the cost-benefit analysis, where the costs and benefits of the pre-bid and post-bid defenses are compared.

scholarly journals THE COST-BENEFIT ANALYSIS OF THE ROMANIAN NATIONAL GAMBLING OFFICE

2020 ◽  
Vol 13(62) (2) ◽  
pp. 157-166
Author(s):  
Ștefan Bulboacă ◽  
Ovidiu Mircea Țierean
Keyword(s):  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
Economic Effects ◽  
Public Institution ◽  
Benefit Analysis ◽  
Costs And Benefits ◽  
Societal Costs ◽  
Gambling Industry ◽  
The Cost ◽  
The Way

"This paper aims to evaluate the economic effects that the Romanian National Gambling Office has over the gambling industry and to determine whether this public institution brings enough benefits to cover the costs. The aim of the research was to gather information about the Romanian gambling industry, the way that this industry is managed and to make a comparison between its societal costs and benefits. "

scholarly journals Impacts of Coal Railroad Transportation Project on GDP Promotion and Unemployment Reduction in Bengkulu Province, Indonesia

2013 ◽  
Vol 216 ◽  
pp. 02-24
Author(s):  
PAULUS KURNIAWAN ◽  
KEMBAR SRI BUDHI ◽  
SUYANA UTAMA ◽  
MAHAENDRA YASA
Keyword(s):  
Significant Contribution ◽  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
Economic Indicator ◽  
Internal Rate Of Return ◽  
Benefit Analysis ◽  
Cost Benefit Ratio ◽  
Railroad System ◽  
The Unemployed ◽  
The Impact

massive, advanced and integrated railroad system for coal transportation (referred to hereafter as ?Project?) from Muara Enim, Sumatra Selatan Province to the new coal port at Pulau Baai, Bengkulu Province, Indonesia is developed by a private investor together with the local government (PEMDA) of Bengkulu Province to make the best use of abundant coal resources in the region. This paper analyzes the impact of this Project on the Bengkulu economy, which is currently considered low. The Gross Domestic Product (GDP) is adopted as the economic indicator. The study combines the theories of export base and economic base, economic and regional developments, cost-benefit analysis and economic impact study with the empirical data. The results show the Project?s financial feasibility with Cost-Benefit Ratio of 1.61, Internal Rate of Return of 21.1% and Payback Period of 5 years, which will provide a significant contribution to the Bengkulu GDP growth and a decrease of 821,600 people among the unemployed.

PP017 Social Cost Benefit Analysis Of Cognitive Behavioral Therapy For Alcohol And Cannabis Addiction

2017 ◽  
Vol 33 (S1) ◽  
pp. 75-76
Author(s):  
Paul van Gils ◽  
Eelco Over ◽  
Anita Suijkerbuijk ◽  
Joran Lokkerbol ◽  
Ardine de Wit
Keyword(s):  
Quality Of Life ◽  
Traffic Accidents ◽  
Social Cost ◽  
Cost Benefit Analysis ◽  
Behavioral Therapy ◽  
Cost Benefit ◽  
Benefit Analysis ◽  
Costs And Benefits ◽  
Addiction Care

INTRODUCTION:Due to their chronic nature and high prevalence, alcohol and cannabis addiction leads to a significant (disease) burden and high costs, both for those involved and for society. The latter includes effects on health care, quality of life, employment, criminality, education, social security, violence in the public and private domain, and traffic accidents. In the Netherlands, a considerable number of people with an alcohol or cannabis addiction currently do not receive addiction care. Cognitive Behavioral Therapy (CBT) is effective as a treatment for both alcohol and cannabis addiction and is widely used in specialized addiction care centers. This social cost-benefit analysis (SCBA) models costs and benefits of increasing the uptake of CBT for persons with an alcohol addiction and for adolescents with a cannabis addiction, taking into account a wide range of social costs and effects (1).METHODS:The method follows general Dutch guidance for performing SCBA. A literature search was conducted to evaluate efficacy of CBT for alcohol and cannabis dependence. In addition, the social costs of alcohol and cannabis addiction for society were mapped, and the costs of enhancing the uptake of CBT were explored. Costs and benefits of increased uptake of CBT for different social domains were modeled for a ten year period, and compared with current (unchanged) uptake during this period. Compliance problems (about 50 percent of clients do not finish CBT) and fall-back to addiction behavior (decrease of effects of CBT over time) were taken into account in model estimations.RESULTS:Per client treated with CBT, the estimated benefits to society are EUR10,000-14,000 and EUR9,700-13,000, for alcohol and cannabis addiction, respectively. These benefits result from reduced morbidity and mortality, improved quality of life, higher productivity, fewer traffic accidents, and fewer criminal activities.CONCLUSIONS:This SCBA shows that not only treated clients but also society will benefit from an increase in people treated with CBT in specialized addiction care centers.

scholarly journals Guide to cost benefit analysis of community-based interventions

2014 ◽  
Vol 3 (5) ◽  
pp. 47
Author(s):  
Sanni Yaya ◽  
Xiaonan Li
Keyword(s):  
Net Present Value ◽  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
Cost Ratio ◽  
Benefit Analysis ◽  
Costs And Benefits ◽  
Community Based Interventions ◽  
Community Based ◽  
Benefit Cost Ratio ◽  
The Cost

This paper offers a general guide on how to conduct a proper economic analysis for community-based intervention projects. Identification and quantification of costs and benefits are the focus of the cost benefit analysis. We categorize costs and benefits from human and physical perspectives and pay special attention to the measures of saving human lives accompanied by the proposed calculation methods. We recommend net present value and benefit-cost ratio as the criteria to assess projects and highlight some challenges remaining in the analysis.

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