Pomerance J J, Ukrainski C T, Ukra T, Henderson D H, Nash A H, Meredith J L
Pediatrics. 1978 Jun;61(6):908-10.
This article reports the in-hospital cost of caring for 75 infants weighing 1,000 gm or less at birth who were born during the 2 1/2-year period between January 1973 and June 1975. Thirty infants (40%) survived. Nineteen of 27 infants tested (70%) appear to be neurologically and developmentally "normal" at 1 to 3 years of age. Hospital charges were adjusted to September 1976 rates and corrected for a 94% collection rate. Physicians' fees represented less than 5% of the total bill and were not included. The average adjusted daily and total costs for the 45 infants who died were $825 and $14,236, respectively. The average adjusted daily and total costs for the 30 survivors were $450 and $40,287, respectively. The average adjusted total cost per "normal" survivor was $88,058. It is our belief that the outcome justifies this expense. Society, however, must be the ultimate judge.
本文报告了1973年1月至1975年6月这两年半期间出生的75名出生时体重在1000克及以下婴儿的住院护理费用。30名婴儿(40%)存活。在27名接受测试的婴儿中,19名(70%)在1至3岁时神经和发育方面似乎“正常”。医院收费已按照1976年9月的费率进行调整,并对94%的收款率进行了校正。医生费用占总账单不到5%,未包括在内。45名死亡婴儿的平均调整后每日费用和总费用分别为825美元和14236美元。30名存活婴儿的平均调整后每日费用和总费用分别为450美元和40287美元。每名“正常”存活婴儿的平均调整后总费用为88058美元。我们认为这样的结果证明了这笔费用的合理性。然而,社会必须成为最终的评判者。