International Journal of Research Foundation of Hospital and Healthcare Administration

Register      Login

VOLUME 2 , ISSUE 1 ( January-June, 2014 ) > List of Articles

RESEARCH ARTICLE

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

AK Gadpayle, HK Dangi, Debopriya

Citation Information : Gadpayle A, Dangi H, D. 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.

DOI: 10.5005/jp-journals-10035-1008

Published Online: 00-06-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


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.


PDF Share
  1. Cost analysis of a primary health centre in northern India. Natl Med J India 1993;6:160-163.
  2. Cost of curative pediatric services in public sector setting. Indian J Pediatr 2005;72:657-660.
  3. Treatment cost for typhoid fever at two hospitals in Kolkata, India. J Health Popul Nutr 2009;27:725-732.
  4. A comparative study to analyse the cost of curative care at primary health centre in Ahmedabad. Indian J Community Med 2010;35:153-158.
  5. ABC of Intensive Care. BMJ 1999;318: 1468-1470.
  6. justetax/453/incometax-depreciation–rates-fy- 2011-12.
  7. Unit Cost of Medical Services at Different Hospitals in India. PLoS ONE 2013;8(7):e69728.
  8. Critical care in India. Critical Care Clinics 1997;13:317-330.
  9. Daily cost of an intensive care unit day: the contribution of mechanical ventilation. Crit Care Med 2005 Jun;33(6):1266-1271.
  10. Economic analysis of costs associated with a Respiratory Intensive Care Unit in a tertiary care teaching hospital in Northern India. Indian J Crit Care Med 2013;17:76-81.
  11. Effects of organizational change in the medical intensive care unit of a teaching hospital: a comparison of ‘open’ and ‘closed’ formats. JAMA 1996;276: 322-328.
  12. Effect on ICU mortality of a full-time critical care specialist. Chest 1989;96:127-129.
  13. Critical care delivery in intensive care units in India: Defining the functions, roles and responsibilities of a consultant intensivist. Indian J Crit Care Med 2006;10:53-63.
  14. The development of a method for comparative costing of individual intensive care units. Anaesthesia 1999;54:110-120.
  15. Quality, cost and outcome of intensive care in a public hospital in Bombay, India. Crit Care Med 1999;27:1754-1759.
  16. Emerging resistance to carbapenems in hospital acquired Pseudomonas infection: a cause for concern. Indian J Pharmacol 2006;38: 287-288.
  17. Activated protein C in sepsis: An Indian experience. Crit Care 2005;9:195
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.