Calculation of costs of pregnancy- and puerperium-related care: experience from a hospital in a low-income country.

Journal of Health, Population, and Nutrition
M G SarowarJ Khan

Abstract

Calculation of costs of different medical and surgical services has numerous uses, which include monitoring the performance of service-delivery, setting the efficiency target, benchmarking of services across all sectors, considering investment decisions, commissioning to meet health needs, and negotiating revised levels of funding. The role of private-sector healthcare facilities has been increasing rapidly over the last decade. Despite the overall improvement in the public and private healthcare sectors in Bangladesh, lack of price benchmarking leads to patients facing unexplained price discrimination when receiving healthcare services. The aim of the study was to calculate the hospital-care cost of disease-specific cases, specifically pregnancy- and puerperium-related cases, and to indentify the practical challenges of conducting costing studies in the hospital setting in Bangladesh. A combination of micro-costing and step-down cost allocation was used for collecting information on the cost items and, ultimately, for calculating the unit cost for each diagnostic case. Data were collected from the hospital records of 162 patients having 11 different clinical diagnoses. Caesarean section due to maternal and foetal complications...Continue Reading

Citations

Oct 25, 2013·Applied Health Economics and Health Policy·Stavros Petrou, Kamran Khan
Jun 19, 2016·Journal of Health, Population, and Nutrition·Nirali M ChakrabortyJoyce Wanderi
Apr 9, 2014·BMC Pregnancy and Childbirth·Mamuda AminuNynke van den Broek
Aug 10, 2018·The International Journal of Health Planning and Management·Abdur Razzaque SarkerAlec Morton
Jun 8, 2017·International Journal of Technology Assessment in Health Care·Asif Raza KhowajaZulfiqar A Bhutta

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