Cost Per DALY Averted in a Surgical Unit of a Private Hospital in India
Backgrounds Cost-effectiveness analysis plays an important role to guide resource allocation decisions, however, information on cost per disability-adjusted life year (DALY) averted by health facilities is not available in many developing economies, including India. We estimated cost per DALY averte...
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| Veröffentlicht in: | World journal of surgery 2016-05, Vol.40 (5), p.1034-1040 |
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| creator | Chatterjee, Susmita Laxminarayan, Ramanan Gosselin, Richard A. |
| description | Backgrounds
Cost-effectiveness analysis plays an important role to guide resource allocation decisions, however, information on cost per disability-adjusted life year (DALY) averted by health facilities is not available in many developing economies, including India. We estimated cost per DALY averted for 2611 patients admitted for surgical interventions in a 106-bed private for-profit hospital in northern India.
Methods
Costs were calculated using standard costing methods for the financial year 2012–2013, and effectiveness was measured in DALYs averted using risk of death/disability, effectiveness of treatment and disability weights from 2010 global burden of disease study.
Results
During the study period, total operating cost of the hospital for treating surgical patients was USD 1,554,406 and the hospital averted 9401 DALYs resulting in a cost per DALY averted of USD 165.
Conclusions
Even though this study was based on one hospital in India, however, the hospital is a private hospital which is expected to have less surgical case load compared to government health facilities, cost per DALY averted for the surgical interventions is much lower than the cost-effectiveness threshold for India (USD 1508 in 2012). This study therefore provides evidence to re-think the common notion that surgical care is expensive and therefore of lower value than other health interventions. |
| doi_str_mv | 10.1007/s00268-015-3376-y |
| format | Article |
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Cost-effectiveness analysis plays an important role to guide resource allocation decisions, however, information on cost per disability-adjusted life year (DALY) averted by health facilities is not available in many developing economies, including India. We estimated cost per DALY averted for 2611 patients admitted for surgical interventions in a 106-bed private for-profit hospital in northern India.
Methods
Costs were calculated using standard costing methods for the financial year 2012–2013, and effectiveness was measured in DALYs averted using risk of death/disability, effectiveness of treatment and disability weights from 2010 global burden of disease study.
Results
During the study period, total operating cost of the hospital for treating surgical patients was USD 1,554,406 and the hospital averted 9401 DALYs resulting in a cost per DALY averted of USD 165.
Conclusions
Even though this study was based on one hospital in India, however, the hospital is a private hospital which is expected to have less surgical case load compared to government health facilities, cost per DALY averted for the surgical interventions is much lower than the cost-effectiveness threshold for India (USD 1508 in 2012). This study therefore provides evidence to re-think the common notion that surgical care is expensive and therefore of lower value than other health interventions.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-015-3376-y</identifier><identifier>PMID: 26675929</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Cardiac Surgery ; Cost Centre ; Cost-Benefit Analysis ; Disability Weight ; General Surgery ; Hospital Costs ; Hospital Units - economics ; Hospitalization - economics ; Hospitals, Private - economics ; Humans ; India ; Medicine ; Medicine & Public Health ; Original Scientific Report ; Private Hospital ; Quality-Adjusted Life Years ; Study Hospital ; Surgery ; Surgical Procedures, Operative - economics ; Surgical Procedures, Operative - statistics & numerical data ; Surgical Unit ; Thoracic Surgery ; Vascular Surgery</subject><ispartof>World journal of surgery, 2016-05, Vol.40 (5), p.1034-1040</ispartof><rights>Société Internationale de Chirurgie 2015</rights><rights>2016 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><rights>Société Internationale de Chirurgie 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4222-e9d4da27b7a490b986fd97ea36889eb8758b772a1d58dae1aebf51bd7f2fa443</citedby><cites>FETCH-LOGICAL-c4222-e9d4da27b7a490b986fd97ea36889eb8758b772a1d58dae1aebf51bd7f2fa443</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00268-015-3376-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-015-3376-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,41467,42536,45553,45554,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26675929$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chatterjee, Susmita</creatorcontrib><creatorcontrib>Laxminarayan, Ramanan</creatorcontrib><creatorcontrib>Gosselin, Richard A.</creatorcontrib><title>Cost Per DALY Averted in a Surgical Unit of a Private Hospital in India</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>Backgrounds
Cost-effectiveness analysis plays an important role to guide resource allocation decisions, however, information on cost per disability-adjusted life year (DALY) averted by health facilities is not available in many developing economies, including India. We estimated cost per DALY averted for 2611 patients admitted for surgical interventions in a 106-bed private for-profit hospital in northern India.
Methods
Costs were calculated using standard costing methods for the financial year 2012–2013, and effectiveness was measured in DALYs averted using risk of death/disability, effectiveness of treatment and disability weights from 2010 global burden of disease study.
Results
During the study period, total operating cost of the hospital for treating surgical patients was USD 1,554,406 and the hospital averted 9401 DALYs resulting in a cost per DALY averted of USD 165.
Conclusions
Even though this study was based on one hospital in India, however, the hospital is a private hospital which is expected to have less surgical case load compared to government health facilities, cost per DALY averted for the surgical interventions is much lower than the cost-effectiveness threshold for India (USD 1508 in 2012). This study therefore provides evidence to re-think the common notion that surgical care is expensive and therefore of lower value than other health interventions.</description><subject>Abdominal Surgery</subject><subject>Cardiac Surgery</subject><subject>Cost Centre</subject><subject>Cost-Benefit Analysis</subject><subject>Disability Weight</subject><subject>General Surgery</subject><subject>Hospital Costs</subject><subject>Hospital Units - economics</subject><subject>Hospitalization - economics</subject><subject>Hospitals, Private - economics</subject><subject>Humans</subject><subject>India</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Scientific Report</subject><subject>Private Hospital</subject><subject>Quality-Adjusted Life Years</subject><subject>Study Hospital</subject><subject>Surgery</subject><subject>Surgical Procedures, Operative - economics</subject><subject>Surgical Procedures, Operative - statistics & numerical data</subject><subject>Surgical Unit</subject><subject>Thoracic Surgery</subject><subject>Vascular Surgery</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkF1LwzAYhYMoOqc_wBsJeONNNR9t0lzO-c3AgYp4FdLlrUS6diatsn9vRqeIIN4kIXnOeU8OQgeUnFBC5GkghIk8ITRLOJciWW6gAU05SxhnfBMNCBdpPFO-g3ZDeCWESkHENtphQshMMTVAV-MmtHgKHp-PJs949A6-BYtdjQ2-7_yLm5kKP9auxU0Zr6bevZsW8HUTFq6NTxG8qa0ze2irNFWA_fU-RA-XFw_j62Ryd3UzHk2SWcoYS0DZ1BomC2lSRQqVi9IqCYaLPFdQ5DLLCymZoTbLrQFqoCgzWlhZstKkKR-i49524Zu3DkKr5y7MoKpMDU0XNJVSEca4UBE9-oW-Np2vY7gVlceJWVyHiPbUzDcheCj1wru58UtNiV6VrPuSdSxZr0rWy6g5XDt3xRzst-Kr1QioHvhwFSz_d9RPt_dnl0TGn0ct67UhyuoX8D9i_5noE5zQlo4</recordid><startdate>201605</startdate><enddate>201605</enddate><creator>Chatterjee, Susmita</creator><creator>Laxminarayan, Ramanan</creator><creator>Gosselin, Richard A.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>201605</creationdate><title>Cost Per DALY Averted in a Surgical Unit of a Private Hospital in India</title><author>Chatterjee, Susmita ; Laxminarayan, Ramanan ; Gosselin, Richard A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4222-e9d4da27b7a490b986fd97ea36889eb8758b772a1d58dae1aebf51bd7f2fa443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Abdominal Surgery</topic><topic>Cardiac Surgery</topic><topic>Cost Centre</topic><topic>Cost-Benefit Analysis</topic><topic>Disability Weight</topic><topic>General Surgery</topic><topic>Hospital Costs</topic><topic>Hospital Units - economics</topic><topic>Hospitalization - economics</topic><topic>Hospitals, Private - economics</topic><topic>Humans</topic><topic>India</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Scientific Report</topic><topic>Private Hospital</topic><topic>Quality-Adjusted Life Years</topic><topic>Study Hospital</topic><topic>Surgery</topic><topic>Surgical Procedures, Operative - economics</topic><topic>Surgical Procedures, Operative - statistics & numerical data</topic><topic>Surgical Unit</topic><topic>Thoracic Surgery</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chatterjee, Susmita</creatorcontrib><creatorcontrib>Laxminarayan, Ramanan</creatorcontrib><creatorcontrib>Gosselin, Richard A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chatterjee, Susmita</au><au>Laxminarayan, Ramanan</au><au>Gosselin, Richard A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cost Per DALY Averted in a Surgical Unit of a Private Hospital in India</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2016-05</date><risdate>2016</risdate><volume>40</volume><issue>5</issue><spage>1034</spage><epage>1040</epage><pages>1034-1040</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><abstract>Backgrounds
Cost-effectiveness analysis plays an important role to guide resource allocation decisions, however, information on cost per disability-adjusted life year (DALY) averted by health facilities is not available in many developing economies, including India. We estimated cost per DALY averted for 2611 patients admitted for surgical interventions in a 106-bed private for-profit hospital in northern India.
Methods
Costs were calculated using standard costing methods for the financial year 2012–2013, and effectiveness was measured in DALYs averted using risk of death/disability, effectiveness of treatment and disability weights from 2010 global burden of disease study.
Results
During the study period, total operating cost of the hospital for treating surgical patients was USD 1,554,406 and the hospital averted 9401 DALYs resulting in a cost per DALY averted of USD 165.
Conclusions
Even though this study was based on one hospital in India, however, the hospital is a private hospital which is expected to have less surgical case load compared to government health facilities, cost per DALY averted for the surgical interventions is much lower than the cost-effectiveness threshold for India (USD 1508 in 2012). This study therefore provides evidence to re-think the common notion that surgical care is expensive and therefore of lower value than other health interventions.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>26675929</pmid><doi>10.1007/s00268-015-3376-y</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Springer Nature - Complete Springer Journals |
| subjects | Abdominal Surgery Cardiac Surgery Cost Centre Cost-Benefit Analysis Disability Weight General Surgery Hospital Costs Hospital Units - economics Hospitalization - economics Hospitals, Private - economics Humans India Medicine Medicine & Public Health Original Scientific Report Private Hospital Quality-Adjusted Life Years Study Hospital Surgery Surgical Procedures, Operative - economics Surgical Procedures, Operative - statistics & numerical data Surgical Unit Thoracic Surgery Vascular Surgery |
| title | Cost Per DALY Averted in a Surgical Unit of a Private Hospital in India |
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