scholarly journals The Costs of Medical Care for Covid-19 Patients: A case study in Turkey

2021 ◽  
Vol 16 (4) ◽  
pp. 186-195
Author(s):  
Cenk Teker ◽  
Dogancan Cavmak ◽  
Hakan Avci
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Clinical Care ◽  
Unit Cost ◽  
Total Cost ◽  
Historical Cost ◽  
Different Types ◽  
One Year ◽  
The Cost

Objective: This study aims to calculate the medical costs of Covid-19 patients for hospitals based on the severity of clinical care. Design: The study was conducted in a hospital in Istanbul/Turkey. A micro-costing approach was performed using historical cost data for one year. All direct and indirect medical inputs were determined in quantities and monetary values for four types of Covid-19 patients in the hospital. Results: The analysis calculated the unit cost of an outpatient to be 459,99 ₺, while the cost per day for inpatient to be 1.184,63 ₺, for non-intubated in intensive care unit to be 1.938,11, for intubated in the intensive unit to be 2.393,99₺. The study also indicates that the total cost of a non-intubated patient in intensive care units is 1,54 times higher than the total cost per inpatient. An intubated patient’s cost is 2,08 times higher than an inpatient’s cost. Conclusion: This study indicates that Covid-19 patients incur significantly high costs for hospitals. The findings of the study provide empirical data for different types of patients which can be used in clinical management and can help all related governing bodies to plan their actions and make the decisions

The Economic burden of Neonatal Intensive Care Unit Admission at a Community Hospital of Central Nepal

2020 ◽  
Vol 40 (1) ◽  
pp. 41-47
Author(s):  
Samana Sharma ◽  
Ram Hari Chapagain ◽  
Om Krishna Pathak ◽  
Arun Gupta ◽  
Kavi Raj Rai ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Cost Of Care ◽  
Distributed Data ◽  
Total Cost ◽  
Duration Of Stay ◽  
Median Total Cost ◽  
The Cost

Introduction: Neonatal sepsis is the commonest cause of neonatal morbidity and mortality and remains a major public health problem especially in developing countries. It is one of the most common causes for admission to neonatal units. The objective of this study was to evaluate the cost of care of neonates admitted in Neonatal Intensive Care Unit. It also compared the cost of care of neonates with sepsis and those with non-sepsis along with the duration of hospital stay and its correlation. Method: A hospital based prospective cross-sectional observational study was carried out over a period of one year. All the neonates admitted at NICU and fulfilling the inclusion criteria formed the study population. Total cost was calculated as the summation of direct and indirect cost. Normally distributed data was analyzed using the Student’s t-test, non-normally distributed data using Mann-Whitney U test. P-value < 0.05 was taken to be statistically significant. Result: Direct cost comprises more than two third of the cost. The median total cost of care of neonates admitted in NICU was USD 222.66 (Range 169.52-280.03). The cost for the ones with sepsis was USD 226.30 (Range 172.19-291.34) and 174.02 (Range 99.67-221.96) in non-sepsis. The mean duration of stay in NICU of the ones having sepsis was 6.6 days and 4.4 days in non-sepsis. Conclusion: The median total cost of care of neonates admitted in NICU was USD 222.66 (Range 169.52-280.03). The duration of stay and the total cost of treatment with sepsis are higher than those with non-sepsis.

scholarly journals Study of Unit Cost of Medical Intensive Care Unit at Tertiary Care Hospital in Government Set up in New Delhi

2014 ◽  
Vol 2 (1) ◽  
pp. 10-14
Author(s):  
AK Gadpayle ◽  
HK Dangi ◽  
Debopriya LNU
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Tertiary Care Hospital ◽  
Medical Intensive Care Unit ◽  
Unit Cost ◽  
Tertiary Care ◽  
Fixed Cost ◽  
Care Hospital ◽  
Total Cost ◽  
Medical Intensive Care

ABSTRACT Aim The cost incurred on delivery of Medical Intensive Care Service to the patient varies from type of Intensive Care Unit (ICU). The present study was conducted to assess the cost of per patient per day in Medical Intensive Care Unit (MICU). Materials and methods It was a prospective study which was carried out at tertiary care hospital, in Government setup, Delhi from 01st January 2014 to 31st January 2014. All the Adult patients admitted in Medical ICU were taken for study. Various costs like fixed, variable, Direct and Indirect were calculate for the study period by step down approach. The unit cost was calculated. Results Total 32 patients were admitted in Medical ICU during the study period. The average days of admissions calculated to 171 days. The average length of stay was estimated at 5.343. The salary component amounts to 42.44% of the total cost. The equipment cost amounts to 37.00% of the total cost. The total fixed cost amounts to 81.62% and variable cost amounts to 18.38%. Out of variable cost the investigation radiology amounts to 6.35% followed by medicine 4.81% and Investigation 3.83%. The unit cost calculated amounts to 20B9 1133.29. Conclusion The fixed cost is a major share of the total cost incurred in Medical ICU. Out of which equipment cost stands first. The unit cost amounts to 20B9 1133.29 which is relatively less than the other studies probably due to close type of ICU and patients admitted in Medical ICU are coming from outside. How to cite this article Gadpayle AK, Dangi HK, Debopriya. Study of Unit Cost of Medical Intensive Care Unit at Tertiary Care Hospital in Government Set up in New Delhi. Int J Res Foundation Hosp Healthc Adm 2014;2(1):10-14.

scholarly journals Financial impact of nursing professionals staff required in an Intensive Care Unit

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Thamiris Ricci de Araújo ◽  
Mayra Gonçalves Menegueti ◽  
Maria Auxiliadora-Martins ◽  
Valéria Castilho ◽  
Lucieli Dias Pedreschi Chaves ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Quantitative Research ◽  
Case Study Method ◽  
Monthly Cost ◽  
Average Quantity ◽  
The Right ◽  
The Cost ◽  
Nursing Professionals

ABSTRACT Objective: to calculate the cost of the average time of nursing care spent and required by patients in the Intensive Care Unit (ICU) and the financial expense for the right dimension of staff of nursing professionals. Method: a descriptive, quantitative research, using the case study method, developed in adult ICU patients. We used the workload index - Nursing Activities Score; the average care time spent and required and the amount of professionals required were calculated using equations and from these data, and from the salary composition of professionals and contractual monthly time values, calculated the cost of direct labor of nursing. Results: the monthly cost of the average quantity of available professionals was US$ 35,763.12, corresponding to 29.6 professionals, and the required staff for 24 hours of care is 42.2 nurses, with a monthly cost of US$ 50,995.44. Conclusion: the numerical gap of nursing professionals was 30% and the monthly financial expense for adaptation of the structure is US$ 15,232.32, which corresponds to an increase of 42.59% in the amounts currently paid by the institution.

scholarly journals Game-Theoretic Decision Support for Cyber Forensic Investigations

Sensors ◽  
2021 ◽  
Vol 21 (16) ◽  
pp. 5300
Author(s):  
Antonia Nisioti ◽  
George Loukas ◽  
Stefan Rass ◽  
Emmanouil Panaousis
Keyword(s):  
Cyber Security ◽  
Strategic Decisions ◽  
Bayesian Games ◽  
Bayesian Game ◽  
Cyber Forensics ◽  
Detection And Attribution ◽  
Different Types ◽  
Game Theoretic ◽  
The Cost

The use of anti-forensic techniques is a very common practice that stealthy adversaries may deploy to minimise their traces and make the investigation of an incident harder by evading detection and attribution. In this paper, we study the interaction between a cyber forensic Investigator and a strategic Attacker using a game-theoretic framework. This is based on a Bayesian game of incomplete information played on a multi-host cyber forensics investigation graph of actions traversed by both players. The edges of the graph represent players’ actions across different hosts in a network. In alignment with the concept of Bayesian games, we define two Attacker types to represent their ability of deploying anti-forensic techniques to conceal their activities. In this way, our model allows the Investigator to identify the optimal investigating policy taking into consideration the cost and impact of the available actions, while coping with the uncertainty of the Attacker’s type and strategic decisions. To evaluate our model, we construct a realistic case study based on threat reports and data extracted from the MITRE ATT&CK STIX repository, Common Vulnerability Scoring System (CVSS), and interviews with cyber-security practitioners. We use the case study to compare the performance of the proposed method against two other investigative methods and three different types of Attackers.

Māori health outcomes in an intensive care unit in Aotearoa New Zealand

2021 ◽  
pp. 0310057X2198971
Author(s):  
M Atif Mohd Slim ◽  
Hamish M Lala ◽  
Nicholas Barnes ◽  
Robert A Martynoga
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
New Zealand ◽  
Renal Replacement Therapy ◽  
Confidence Interval ◽  
Health Outcomes ◽  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
One Year ◽  
Maori Health

Māori are the indigenous people of New Zealand, and suffer disparate health outcomes compared to non-Māori. Waikato District Health Board provides level III intensive care unit services to New Zealand’s Midland region. In 2016, our institution formalised a corporate strategy to eliminate health inequities for Māori. Our study aimed to describe Māori health outcomes in our intensive care unit and identify inequities. We performed a retrospective audit of prospectively entered data in the Australian and New Zealand Intensive Care Society database for all general intensive care unit admissions over 15 years of age to Waikato Hospital from 2014 to 2018 ( n = 3009). Primary outcomes were in–intensive care unit and in-hospital mortality. The secondary outcome was one-year mortality. In our study, Māori were over-represented relative to the general population. Compared to non-Māori, Māori patients were younger (51 versus 61 years, P < 0.001), and were more likely to reside outside of the Waikato region (37.2% versus 28.0%, P < 0.001) and in areas of higher deprivation ( P < 0.001). Māori had higher admission rates for trauma and sepsis ( P < 0.001 overall) and required more renal replacement therapy ( P < 0.001). There was no difference in crude and adjusted mortality in–intensive care unit (16.8% versus 16.5%, P = 0.853; adjusted odds ratio 0.98 (95% confidence interval 0.68 to 1.40)) or in-hospital (23.7% versus 25.7%, P = 0.269; adjusted odds ratio 0.84 (95% confidence interval 0.60 to 1.18)). One-year mortality was similar (26.1% versus 27.1%, P=0.6823). Our study found significant ethnic inequity in the intensive care unit for Māori, who require more renal replacement therapy and are over-represented in admissions, especially for trauma and sepsis. These findings suggest upstream factors increasing Māori risk for critical illness. There was no difference in mortality outcomes.

Penetapan Tarif Ambulans Untuk Evakuasi Medis Berbasis Unit Cost

2021 ◽  
Vol 7 (1) ◽  
pp. 167-173
Author(s):  
Kelvin Riupassa ◽  
Narizma Nova ◽  
Endah Lestari ◽  
Sri Juniarti Azis ◽  
Wahyu Sulistiadi
Keyword(s):  
Recovery Rate ◽  
Unit Cost ◽  
Cost Recovery ◽  
Maintenance Costs ◽  
Total Cost ◽  
Medical Evacuation ◽  
Operational Costs ◽  
Emergency Ambulance ◽  
The Cost ◽  
Cost Components

Background: An ambulance is a vehicle designed to be able to handle emergency patients, provide first aid and carry out intensive care while on the way to a referral hospital. Ambulance operations require a large amount of funds obtained from APBD funds through tariffs that were passed through the DKI Jakarta Governor Regulation five years ago. For this reason, a new tariff is required to adjust to current conditions. Objectives: The purpose of this study is to calculate the unit cost of ambulance services in DKI Jakarta to be a consideration in the tariff setting policy in DKI Jakarta province. Research Metodes: This study uses a quantitative descriptive approach to obtain information about the unit cost of the Jakarta ambulance production unit. The method used is the calculation of real cost using the basis of the causes of costs. This research was conducted at the DKI Jakarta Emergency Ambulance using secondary data on investment costs, operational costs and maintenance costs in 2018. Results: The total cost of emergency ambulance in 2018 is known that the proportion of three cost components, namely operational costs, is 76%, followed by investment costs of 20% and maintenance costs of 3%. The calculation of the total cost of medical evacuation using the double distribution method is Rp. 98,915,016,805.00 divided by the number of medical evacuations in 2018 of 37,564 activities, the unit cost of medical evacuation for the AGD of DKI Jakarta Health Office is Rp. 2,633,215.00 without subsidies. APBD costs, while if the subsidy component is included in the calculation, the unit cost for one trip to the AGD of the Health Office is Rp. 604,071.00. This is still far above the current tariff of Rp. 450.00, so the cost recovery rate (CRR) is still below. 100%. Conclusion: From the three cost components consisting of investment, operational and maintenance costs,the largest proportion was operational costs at 76%. The Cost Recovery Rate has not reached 100% so that the existing rates have not covered the costs incurred.   Keywords: ambulance; price fixing; unit cost

scholarly journals Staff cost in direct nursing care at an intensive care unit

2007 ◽  
Vol 15 (5) ◽  
pp. 1005-1009 ◽  
Author(s):  
Sandra Cristina Ribeiro Telles ◽  
Valéria Castilho
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Staff ◽  
Work Load ◽  
Direct Care ◽  
Personnel Cost ◽  
Simple Method ◽  
Personnel Costs ◽  
Staff Cost ◽  
The Cost

This quantitative case study aimed to learn and analyze the personnel cost in nursing direct care in the intensive care unit. We opted to use a therapeutic intervention score index, TISS-28, for the analysis of the indirect gravity of patients and the dimension of the nursing staff working time. Evaluating the cost by a gravity score presented to be a logical and relatively simple method to allocate costs per patient in the intensive care unit. In this exploratory and descriptive study, the average TISS-28 per patient was 31 points, requiring a daily expenditure of care hours of R$ 298.69. It was evidenced in this study that personnel costs are variable since there are patients with different complexities. Therefore is possible to estimate the nursing staff cost by assessing its work load.

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