Marshall P B, Halls H J, James S L, Grivell A R, Goldstein A, Berry M N
Flinders Medical Centre, Bedford Park, SA.
Med J Aust. 1989 May 15;150(10):568-9, 572-4. doi: 10.5694/j.1326-5377.1989.tb136694.x.
The cost of providing intensive (level-3) and special (level-2) care for newborn infants in a tertiary perinatal service was determined prospectively and was expressed in 1984 Australian dollars. Direct costs that were expressed per occupied bed-day were $690 for level-3, high-dependency care; $421 for level-3, low-dependency care; $544 for over-all level-3 care; $242 for level-2, high-dependency care; $170 for level-2, low-dependency care; and $201 for over-all level-2 care. Each level of care generated additional costs of $42 per occupied bed-day. Taking these additional costs into account, the over-all occupied bed-day cost of level-3 and level-2 neonatal care was $339. The major components of this over-all cost were: nursing staff members, 50%; medical staff members, 11%; consumable and recyclable items, 12%; and diagnostic services, 8%.
在一家三级围产期服务机构中,对新生儿提供重症(3级)和特殊(2级)护理的成本进行了前瞻性测定,并以1984年澳元表示。按每个占用床位日计算的直接成本为:3级高依赖护理690澳元;3级低依赖护理421澳元;3级总体护理544澳元;2级高依赖护理242澳元;2级低依赖护理170澳元;2级总体护理201澳元。每个护理级别每个占用床位日产生额外成本42澳元。考虑到这些额外成本,3级和2级新生儿护理的总体占用床位日成本为339澳元。这一总体成本的主要构成部分为:护理人员,50%;医务人员,11%;消耗品和可回收物品,12%;诊断服务,8%。