Profile of Back-Referrals to Special Newborn Care Units

Chakraborty, Soumalya; Angurana, Suresh Kumar; Saini, Sushma Kumari; Sundaram, Venkataseshan; Prabhash, Kumar

doi:10.1007/s13312-022-2420-x

Cited by 3 publications

(1 citation statement)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The concept of back referral from tertiary care hospital to a specialized neonatal care unit near the residence of the parents for step-down care is gaining importance recently and will help to reduce the OOPE. [ 12 ] This study has a few limitations. The costs may include the expenses for the mother to a certain extent.…”

Section: Discussionmentioning

confidence: 99%

The Out-of-pocket Expenditures Incurred during Neonatal Hospitalization in a Public Hospital in Tamil Nadu - A Cross-Sectional Study

Ramya

Kumaravel

Anurekha

et al. 2023

Indian Journal of Community Medicine

View full text Add to dashboard Cite

Background: For effective policy making, it is important to understand out of pocket costs incurred in neonatal admissions in public hospitals. This cross sectional study was conducted with an objective to estimate out of pocket expenses expended on neonates and attenders during neonatal hospitalizations in a tertiary care referral hospital. Material and Methods: The data were collected using a pretested and semi structured questionnaire in 298 neonates during July’2022. Expenditures were reported as median values with interquartile range (IQR) and compared using the Kruskal Wallis test. Result: On analyzing the results, there were no direct medical costs. The median cost spent on food per day, transport during the stay, non medical expenses per day, and total expenses per day were Rs. 300 (IQR 200, 500), Rs. 1000 (500, 1500), Rs. 500 (333, 896), and Rs. 1080 (800, 1533), respectively. Higher expenses were associated with preterm, low birth weight, neonatal seizures, and longer stay (P values <0.001, 0.028, <0.001, and <0.001, respectively). About 9.39% and 1% of the families were found to be catastrophic health expenditures at 10% and 25% threshold levels, respectively. Conclusion: To conclude, all the direct medical costs were borne by the caregiver. However, some non medical and indirect costs are associated with neonatal hospitalizations in public hospitals and cash benefit schemes can offset them.

show abstract

Section: Discussionmentioning

confidence: 99%