The full cost of tonsillectomy at Children’s hospital 1 in 2019

2021 ◽  
Vol 04 (03) ◽  
pp. 95-106
Author(s):  
Dinh Pham ◽  
◽  
Quynh Nguyen
Keyword(s):  
Indirect Cost ◽  
Direct Cost ◽  
Average Cost ◽  
Indirect Costs ◽  
Maintenance Cost ◽  
Full Cost ◽  
Children's Hospital ◽  
Study Results ◽  
Children’S Hospital ◽  
Plasma Peak

Objective: Determine full cost of tonsillectomy at Children’s Hospital 1 in 2019. Methods: Coss–sectional descriptive study 304 tonsillectomy children at Children’s Hospital 1 in 2019. Results: The study results showed that the cost of tonsillectomy (excluding consultation fees and pre-operation tests) depend on surgery devices. The average cost of cautery tonsillectomy was 1,740, 869 VND (68% direct cost, 32% indirect cost), of the coblator tonsillectomy was 3,610,031 VND 84.58% direct cost, 15.46% indirect cost), and of the plasma peak tonsillectomy one was 3,600,124 VND (84.54% direct cost, 15.46% indirect cost). In 3 surgery methods, the percentage’s cost of drugs, medical disposible items, and operation team were the largest share in direct costs; in indirect costs, the percentage of human management was the highest proportion, followed by the percentage of facility maintenance cost, and the percentage of other regular expenses cost was very low. Conclusion: The average cost of cautery tonsillectomy was 1,740, 869 VND, of the coblator tonsillectomy was 3,610,031 VND, and of the plasma peak tonsillectomy one was 3,600,124 VND.This cost is higher than the current hospital fee the patient or the health insurance paid. This implies a mismatch between input costs and hospital rates. Key words: Tonsillectomy cost, Children’s Hospital 1, cautery, Coblator, Plasma Peak Blade.

scholarly journals Analisis Perbandingan Biaya Langsung (Direct Cost) dan Biaya Tidak Langsung (Indirect Cost) pada Pasien Stroke Di Rumah Sakit

2017 ◽  
Vol 2 (2) ◽  
Author(s):  
Destanul Aulia, SKM, MBA-HM, MEc, PhD ◽  
Sri Fajar Ayu ◽  
Nefonafratilova Nefonafratilova
Keyword(s):  
Ischemic Stroke ◽  
Indirect Cost ◽  
Direct Cost ◽  
Average Cost ◽  
Hemorrhagic Stroke ◽  
Indirect Costs ◽  
Total Direct Cost ◽  
Stroke Patients ◽  
Stroke Treatment ◽  
The Public

Abstrak Stroke dibagi dalam dua kategori, yaitu stroke iskemik dan hemoragik. Setiap tahunnya terdapat 15 juta orang di seluruh dun­ia yang mengalami stroke. Pengobatan stroke memerlukan biaya yang tinggi. Beban akibat penyakit jantung dan stroke dari tahun 2012 hingga 2030 mencapai Rp. 1,7 triliun. Penelitian ini bertujuan untuk menganalisis perbandingan biaya langsung dan tidak langsung yang dikelarkan oleh pasien stroke di RSUD Kota X tahun 2017. Hasil penelitian menunjukkan bahwa jum­lah pasien stroke iskemik lebih banyak dibandingkan pasien stroke hemoragik. Secara rata-rata, lama hari rawat untuk pasien stroke hemoragik lebih lama dibandingkan stroke iskemik. Namun demikian, total biaya pasien stroke jenis iskemik lebih be­sar dibandingkan total biaya pasien stroke hemoragik. Biaya rata-rata yang dikeluarkan pasien stroke hemoragik lebih besar Rp 3.763.750 dibandingkan biaya rata-rata pasien stroke iskemik. Total biaya langsung pasien stroke yaitu Rp. 527.895.000 (54,7%) dan total biaya tidak langsung yaitu Rp. 437.295.000 (45,3%). Disarankan agar masyarakat lebih teratur dalam me­mantau kesehatan, pergerakan tekanan darah dan kemungkinan gejala stroke.Abstract Stroke is divided into two categories, ischemic and hemorrhagic. Each year there are 15 million people around the world who suffer a stroke. Stroke treatment requires a high cost. The burden of heart disease and stroke from 2012 to 2030 reaches Rp. 1,7 trillion. This study aimed to analyze the comparison of direct and indirect costs of stroke patient in X hospital in 2017. The results showed that the number of ischemic stroke patients more than hemorrhagic stroke patients. The average cost of hemorrhagic stroke patients is greater at Rp 3,763,750 than the average cost of ischemic stroke patients. The total direct cost of stroke patients is Rp. 527,895,000 (54.7%) and the total indirect cost of Rp. 437,295,000 (45.3%). It is recommended that the public more actively to monitor health, blood pressure movements, and symptoms of stroke. 

Animal production studies in Jamaica. IV. The costs of developing and maintaining pangola grass pastures

1964 ◽  
Vol 62 (2) ◽  
pp. 179-186 ◽  
Author(s):  
B. L. Nestel
Keyword(s):  
Indirect Cost ◽  
Direct Cost ◽  
Inverse Relationship ◽  
Indirect Costs ◽  
Animal Production ◽  
Direct And Indirect Costs ◽  
Production Studies ◽  
Total Range ◽  
The Cost

The cost of developing and maintaining pangola grass pastures has been examined under a range of conditions. The direct cost of improving pastures to the stage where they were established as 5–10 acre, fenced, watered units of pangola grass was about £30 per acre. Under favourable conditions this cost could be reduced to £20, but with difficult land or poor techniques the cost could rise to £40 or more per acre. In addition to the direct cost of establishment there was an indirect cost due to land being out of use or stock numbers having to be reduced. This indirect cost appeared to be highest on lands where planting costs were least. It was suggested that there might be an inverse relationship between direct and indirect costs which tended to narrow the total range of establishment costs.

scholarly journals Measuring the Total Cost of Ankle Fractures: A Prospective Analysis

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0006
Author(s):  
Peter C. Noback ◽  
Tess Dougherty ◽  
Christina Freibott ◽  
Eric F. Swart ◽  
Melvin P. Rosenwasser ◽  
...  
Keyword(s):  
Return To Work ◽  
Indirect Cost ◽  
Direct Cost ◽  
Indirect Costs ◽  
The United States ◽  
Direct Costs ◽  
Cost Data ◽  
Ankle Fractures ◽  
Total Cost ◽  
True Value

Category: Trauma; Ankle Introduction/Purpose: Ankle fractures (AFx) are the most common foot and ankle fracture seen at hospitals in the United States, and are undoubtedly costly to patients. Quantification of the costs of fractures and their associated treatments has garnered increased attention in orthopedics in recent years through cost-effectiveness analysis. However, literature pertaining to AFx’s almost never reports on the indirect costs of AFx’s, and thus fails to accurately assess the true value of treatments. The purpose of this study was to prospectively assess the direct and indirect costs of AFx’s in operatively and nonoperatively treated patients. Secondary analysis included evaluation of the composition of indirect cost, the duration these costs are endured, and the factors that influence their magnitude. Methods: A prospective observational single-center study was performed. Adult patients presenting for initial consult for an AFx that could speak English or Spanish were enrolled. Polytrauma patients and those unable to provide complete indirect cost data were excluded. Patients completed a cost form that asked the money they had spent in the last week on transportation, household chores, and self-care due to their AFx. Patients were considered to have complete indirect cost data if they returned for follow-up visits until they reported no recurring indirect costs and had returned to work. Direct cost data was obtained directly from the hospital billing department. Amount collected was utilized. Direct costs included any costs incurred from staff treating the patient, supplies required for treatment, and the use of healthcare facilities. A descriptive analysis of the entire cohort and stratification by operative status was performed for the primary comparative analysis. Results: 60 patients were ultimately analyzed. Average age was 46.5 years. 55% were female. 10% of patients were diabetic. 17% smoked cigarettes actively. Weber A, B, and C fractures composed 12%, 72%, and 18% of fractures, respectively. Operatively treated patients (n=37) had a significantly higher total and direct cost than non-operative patients (P<0.01). Average salary of the 39 employed patients was $61,416 and return to work period was 11.2 weeks. In all patients, lost income accounted for the largest portion of total and indirect cost, averaging 38% of total cost. Longer periods of return to work were significantly associated with undergoing surgery and having less than a college-level education (P<0.05). Average number of weeks for indirect costs to amount to zero was 19.1. Conclusion: In patients treated operatively and nonoperatively, the largest cost component was an indirect cost: missed wages at 28.6% and 63.3%, respectively. While the majority of the direct costs of AFx’s are accrued in the period immediately following the injury, indirect cost components will regularly be incurred for nearly 5 months and often longer. The degree and duration to which these indirect costs accumulate are novel findings. Future research should no longer neglect reporting on an intervention’s impact on the indirect costs of AFx’s. [Table: see text]

scholarly journals Economic Cost of Diabetes in Ampara District in Sri Lanka

2018 ◽  
Vol 11 (4) ◽  
pp. 146 ◽  
Author(s):  
S. M. Ahamed Lebbe ◽  
K. Fathima Rinosha
Keyword(s):  
Indirect Cost ◽  
Direct Cost ◽  
Average Cost ◽  
Sampling Method ◽  
Transportation Cost ◽  
Economic Cost ◽  
Diabetic Patients ◽  
Short Term ◽  
Permanent Disability ◽  
Monthly Average

Economic cost of diabetes comprises of two components, viz. the direct cost and indirect cost. Doctor consultation fees, transportation cost, cost of blood and urine tests, and cost of medication constitute the direct cost. Short term morbidity and permanent disability due to diabetes result in inability to work, which accounts for the indirect cost. The objective of the study was to measure the economic cost of diabetic patients in Sainthamaruthu Divisional Secretariat Area of Ampara district in Sri Lanka. The research area of this study was Sainthamaruthu Township in Ampara district, where the burden of diabetes is higher than in other places. This study used primary and secondary data, both qualitative and quantitative. Primary data was collected through a questionnaire. Sample was selected through the stratified sampling method from 243 patients. 100 questionnaires were distributed through the random sampling method. For the data analysis this study used cross-sectional descriptive method. The direct cost and indirect cost of diabetes was estimated by cost of illness method. Analysis was performed through SPSS and Excel. This survey found that the monthly average direct cost per patient in Sainthamaruthu Divisional Secretariat Area was US $19. A breakdown gives monthly average doctor consultation fees of US $5.15, monthly average transportation cost of US $1.12, monthly average cost for urine test US $0.47, monthly average cost for blood test US $1.32, and monthly average medication cost of US $10.93. To these must be added monthly average indirect cost of US $68.94. This is made up of US $49.20 lost per patient per month for permanent disability and US $19.74 lost per patient per month for short term morbidity. Therefore, the monthly average economic cost amounted to US $87.93 per patient. At the same time, a higher level of economic cost is borne by the male and lower cost borne by the income group that earned between US $175 and US $350. 54 percent of patients depend on their families to meet their diabetes related expenditure. So the major part of the cost of diabetes care is imposed on the families of diabetic patients in the study area. And it just proves to be a big economic burden on them.

scholarly journals Reality and some Factors Related to Treatment Adherence in HIV/AIDS Children at Outpatient Clinic, Vietnam National Children’s Hospital

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Thi Ngoc Tran ◽  
Thien Hai Do ◽  
Thi Duyen Tran ◽  
Le Chinh Nguyen
Keyword(s):  
Treatment Compliance ◽  
Cross Sectional Study ◽  
Outpatient Clinics ◽  
Short Treatment ◽  
Cross Sectional ◽  
Children's Hospital ◽  
Counseling Intervention ◽  
Study Results ◽  
Children’S Hospital ◽  
Hiv Aids

Purpose: To characterize the prevalence and factors associated with ARV adherence in HIV/AIDS-infected children at outpatient clinics, Vietnam National Children's Hospital. Methods: A cross-sectional study was conducted at outpatient clinics, Vietnam National Children's Hospital in 2019. Results: The study results showed that 63% of  HIV/AIDS infected children adhered to treatment and 37% of them did not adhere to ARV. The study investigated the relevance of 11 factors and found 5 factors related to pediatric noncompliance, including a short treatment period of less than 1 year (OR: 17.1; 95% CI: 2,26-75,5 and p < 0,01); waiting time for taking drugs is too long (OR: 19.3; 95% CI: 7.9-50.9 and p < 0.01); main caregivers aged ≥ 50 (OR = 42.3; 95% CI from 17.9-120.1 and p < 0.01. Conclusions: The prevalence of ARV adherence in HIV/AIDS-infected children was 63%. Counseling intervention models to improve drug treatment compliance should be concentrated on newly infected children, treatment duration less than 1 year and their primary caregivers over 50 years old.

Treating pediatric hydrocephalus in Australia: a 3-year hospital-based cost analysis and comparison with other studies

2013 ◽  
Vol 11 (4) ◽  
pp. 398-401 ◽  
Author(s):  
Alan Chuong Q. Pham ◽  
Christine Fan ◽  
Brian K. Owler
Keyword(s):  
Average Cost ◽  
Shunt Revision ◽  
Neurosurgical Procedures ◽  
Shunt Insertion ◽  
Hospital System ◽  
Children's Hospital ◽  
Pediatric Hydrocephalus ◽  
Children’S Hospital ◽  
Previously Treated ◽  
Cost Per Admission

Object The aim of this study was to quantify the financial costs of surgical intervention in patients with newly diagnosed hydrocephalus and patients with treatment failure or complications of previously treated hydrocephalus between 2007 and 2009 at the Children's Hospital at Westmead in Sydney, Australia. Methods This was a retrospective study of patients who underwent shunt insertion, shunt revision, treatment of an infected shunt, and endoscopic third ventriculostomy (ETV) between 2007 and 2009. Actual hospital costs associated with each inpatient stay were obtained from the accounting office of Children's Hospital at Westmead. Patients with hydrocephalus secondary to trauma, malignancy, or other complex conditions (except myelomeningocele) were excluded. Results Hydrocephalus-related procedures comprised approximately one-third of neurosurgical procedures performed each year. From 2007 to 2009, there were 192 admissions during which 300 procedures were performed for 162 patients. The total cost was $4.78 million (Australian) with an average cost of $1.59 million per year. The cost per admission for shunt insertion and ETV were similar ($13,905 vs $14,128, respectively). The average cost per admission for shunt revision was $9,753. However, shunt infection was associated with 40% of total costs, averaging $83,649 per admission. Management of patients with myelomeningocele undergoing insertion of shunt procedures in the same admission accounted for an average cost of $50,186. Conclusions Hydrocephalus is a chronic condition that imposes a significant and growing economic burden upon the Australian hospital system. Seventy-five percent of hydrocephalus-related hospital expenditure is used to surgically treat patients for complications or failure of previously treated hydrocephalus. Further research into the economic impact of pediatric hydrocephalus on the Australian health care system and concerted research efforts in the area of effective long-term surgical treatment and complication minimization are essential.

scholarly journals Cost of Diabetes Mellitus Care among Patients attending selected Outpatient Clinics

2013 ◽  
Vol 52 (190) ◽  
Author(s):  
Niraj Shrestha ◽  
Shyam Prasad Lohani ◽  
Mirak Raj Angdembe ◽  
Kreepa Bhattarai ◽  
Jyoti Bhattarai
Keyword(s):  
Diabetes Mellitus ◽  
Indirect Cost ◽  
Direct Cost ◽  
Outpatient Clinics ◽  
Total Direct Cost ◽  
Diabetic Patients ◽  
Cost Burden ◽  
Cross Sectional ◽  
Total Cost ◽  
Study Results

Introduction: In developing countries diabetes mellitus affects economically productive age group; more often affecting the productive member of the family. The objective of the study was to estimate the direct and indirect cost of illness of patients with DM attending the selected outpatient clinics in Kathmandu Valley.Methods: A cross-sectional study was carried out in four outpatient clinics in Kathmandu Valley among 227 diabetic patients selected purposively. It was conducted from July to September, 2010. An adapted and pretested semi structured questionnaire was administered to diabetic patients aged 20 to 60 years with a minimum of a year of illness.Results: The mean total cost per visit by a diabetic patient to an outpatient clinic wasUS$13.3 (95% CI: 11.70-14.92). Likewise the total cost incurred in the treatment and care of DM per month was US$ 40.41 (95% CI: 36.38-44.45) and per annum was US$ 445 (95% CI: 396.11-495.61). In addition, the study results also showed that with increase in total direct cost per annum the duration of illness also increases.Conclusions: There is a high cost burden on the patient with DM visiting the selected private sector outpatient clinics._______________________________________________________________________________________Keywords: cost burden; diabetes mellitus; direct cost; indirect cost; treatment cost.

scholarly journals Wilm’s Tumor: Ten Year Experience at Kanti Children’s Hospital

1970 ◽  
Vol 30 (2) ◽  
pp. 85-89 ◽  
Author(s):  
Kailash Prasad Sah ◽  
Ganesh Kumar Rai ◽  
PN Shrestha ◽  
Amit Shrestha
Keyword(s):  
Paediatric Oncology ◽  
Abdominal Tumor ◽  
Children's Hospital ◽  
Resource Limitations ◽  
Wilm's Tumor ◽  
Study Results ◽  
Children’S Hospital ◽  
Oncology Unit ◽  
Wilm’S Tumor ◽  
Lost To Follow Up

Introduction: Wilm's tumor is the second most common abdominal tumor in children. It arises from thekidney. The survival of children with Wilm's tumor has improved over the past 25 years. Objectives: Tostudy the clinical presentation of Wilm’s tumor and evaluate the ten year survival. Materials and Methods:A retrospective hospital based study was conducted at Kanti Children's Hospital from March 1998 toFebruary 2008. A total of 60 histopathologically diagnosed children below 14 yr of age were included inthe study. Results: About 2/3rd (66.5%) presented with abdominal swelling followed by abdominal pain(16.5%) and fever (13.5%). A few children manifested with red colored urine (3.5%). The age of childrenranged from one month to 13 years with the mean age of 36 months. Males were affected more than thefemales (M:F=3:1). Most affected age group was 2 to 5 yrs (41.5%) followed by 1 to 2 yrs (25.0%). Mostof the cases were in stage III (36.5%) followed by stage II (33.5%). SIOP protocol was used to treat thesechildren and overall 10 year survival rate was 50.0%. One fifth (20%) of the cases died, 16.5% relapsedand 13.5% lost to follow up. Conclusion: Despite severe resource limitations, paediatric oncology unit atKanti Children’s Hospital has been successfully treating Wilm's tumor with the success rate of 50.0%.Key words: Chemotherapy; Outcome; Remission; Wilm’s tumor; SIOP.DOI: 10.3126/jnps.v30i2.3449J. Nepal Paediatr. Soc. May-August, 2010 Vol 30(2) 85-89

scholarly journals Economic Cost of Schizophrenia in a Nigerian Teaching Hospital

2019 ◽  
Vol 10 (01) ◽  
pp. 39-47 ◽  
Author(s):  
Ibidunni Olapeju Oloniniyi ◽  
Adesanmi Akinsulore ◽  
Olutayo Olubunmi Aloba ◽  
Boladale Moyosore Mapayi ◽  
Olakunle Ayokunmi Oginni ◽  
...  
Keyword(s):  
Indirect Cost ◽  
Direct Cost ◽  
Rating Scale ◽  
Productivity Loss ◽  
Indirect Costs ◽  
Economic Cost ◽  
Syndrome Scale ◽  
Annual Total ◽  
The Cost ◽  
Negative Syndrome

ABSTRACT Objectives: This study evaluated the economic cost of schizophrenia in Nigerian patients and identified factors that influence cost. Methods: A total of 100 participants with schizophrenia were assessed using the modified economic cost questionnaire, the mini-international neuropsychiatric interview, the positive and negative syndrome scale, the Liverpool University Neuroleptic side-effect rating scale, and the global assessment of functioning scale. Associations between sociodemographic characteristics, illness-related variables and direct, indirect, and total costs of schizophrenia were assessed. Results: The average annual total, direct, and indirect costs of the treatment were $818.48, $349.59, and $468.89, respectively, per patient. The direct cost constituted 42.7%, while the indirect cost was 57.3% of the total costs of treatment. Hospitalization was the leading contributor to the direct cost, while productivity loss was a major component of the indirect cost. Conclusion: Schizophrenia is an expensive disease in Nigeria, measures to reduce hospitalization could significantly reduce the cost of illness to the patient and their relatives.

Passy-Muir Speaking Valve Use in a Children's Hospital: An Interdisciplinary Approach

2008 ◽  
Vol 18 (2) ◽  
pp. 76-86 ◽  
Author(s):  
Lauren Hofmann ◽  
Joseph Bolton ◽  
Susan Ferry
Keyword(s):  
Tracheostomy Tube ◽  
Pediatric Population ◽  
Interdisciplinary Approach ◽  
Extended Period ◽  
Speech Development ◽  
Tube Placement ◽  
Background Information ◽  
Speaking Valve ◽  
Children's Hospital ◽  
Children’S Hospital

Abstract At The Children's Hospital of Philadelphia (CHOP) we treat many children requiring tracheostomy tube placement. With potential for a tracheostomy tube to be in place for an extended period of time, these children may be at risk for long-term disruption to normal speech development. As such, speaking valves that restore more normal phonation are often key tools in the effort to restore speech and promote more typical language development in this population. However, successful use of speaking valves is frequently more challenging with infant and pediatric patients than with adult patients. The purpose of this article is to review background information related to speaking valves, the indications for one-way valve use, criteria for candidacy, and the benefits of using speaking valves in the pediatric population. This review will emphasize the importance of interdisciplinary collaboration from the perspectives of speech-language pathology and respiratory therapy. Along with the background information, we will present current practices and a case study to illustrate a safe and systematic approach to speaking valve implementation based upon our experiences.

Sign in / Sign up

Export Citation Format

Share Document