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Cost of Trauma Care in Secondary- and Tertiary-Care Public Sector Hospitals in North India

Author

Listed:
  • Ankur Sangwan

    (Post Graduate Institute of Medical Education and Research)

  • Shankar Prinja

    (Post Graduate Institute of Medical Education and Research)

  • Sameer Aggarwal

    (Post Graduate Institute of Medical Education and Research)

  • Jagnoor Jagnoor

    (University of Sydney)

  • Pankaj Bahuguna

    (Post Graduate Institute of Medical Education and Research)

  • Rebecca Ivers

    (University of Sydney)

Abstract

Background Several initiatives to provide trauma care, including ambulance services, creation of a network of trauma hospitals and insurance schemes for cashless treatment, are currently being implemented in India. However, lack of information on the cost of trauma care is an impediment to the evidence-based planning for such initiatives. In this study, we aim to bridge this gap in evidence by estimating the unit cost of an outpatient consultation, inpatient bed-day of hospitalization, surgical procedure and diagnostics for providing trauma care through secondary- and tertiary-level hospitals in India. Methods We undertook an economic costing of trauma care in a secondary-care district hospital and a tertiary-level teaching and research hospital in North India. Cost analysis was undertaken using a health system perspective, employing a bottom-up costing methodology. Data on all resources—capital or recurrent—on delivery of trauma care during the period of April 2014 to March 2015 were collected. Standardized unit costs were estimated after adjusting for bed occupancy rates. Sensitivity analysis was performed to account for the uncertainties due to differences in prices and other assumptions. Results The cost of trauma care in the tertiary care hospital was INR 9585 (US$147.4) per day-care consultation; INR 2470 (US$37.7) per bed-day hospitalization (excluding ICU), INR 12,905 (US$198.5) per bed day in ICU and INR 21,499 (US$330.8) per surgery. Similarly, in the secondary-care hospital, the cost of trauma care was INR 482 (US$7.4) per outpatient consultation, INR 791 (US$12.2) per bed day of hospitalization, INR 186 (US$2.9) per minor surgery and INR 6505 (US$100.1) per major surgery. Conclusion The estimates generated can be used for planning and managing trauma care services in India. The findings may also be used for undertaking future research in estimating the cost effectiveness of trauma care services or models of care.

Suggested Citation

  • Ankur Sangwan & Shankar Prinja & Sameer Aggarwal & Jagnoor Jagnoor & Pankaj Bahuguna & Rebecca Ivers, 2017. "Cost of Trauma Care in Secondary- and Tertiary-Care Public Sector Hospitals in North India," Applied Health Economics and Health Policy, Springer, vol. 15(5), pages 681-692, October.
    • Handle: RePEc:spr:aphecp:v:15:y:2017:i:5:d:10.1007_s40258-017-0329-7
    DOI: 10.1007/s40258-017-0329-7
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    Cited by:

    1. Shankar Prinja & Sehr Brar & Maninder Pal Singh & Kavitha Rajsekhar & Oshima Sachin & Jyotsna Naik & Malkeet Singh & Himanshi Tomar & CHSI Study Collaborating Investigators & Pankaj Bahuguna & Lorna G, 2020. "Process evaluation of health system costing – Experience from CHSI study in India," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-22, May.
    2. Pankaj Bahuguna & Indranil Mukhopadhyay & Akashdeep Singh Chauhan & Saroj Kumar Rana & Sakthivel Selvaraj & Shankar Prinja, 2018. "Sub-national health accounts: Experience from Punjab State in India," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-17, December.
    3. Shankar Prinja & Yashpaul Sharma & Jyoti Dixit & Shyam Kumar Singh Thingnam & Rajesh Kumar, 2019. "Cost of Treatment of Valvular Heart Disease at a Tertiary Hospital in North India: Policy Implications," PharmacoEconomics - Open, Springer, vol. 3(3), pages 391-402, September.

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