Table 5.
Unit costs (in Indian rupees [₹]) of delivering inpatient care (per bed day) by specialty in district hospitals across four states in India for the year 2014–2015
| Specialty | Himachal Pradesh | Kerala | Odisha | Tamil Nadu | Overall | |||||
|---|---|---|---|---|---|---|---|---|---|---|
| Unadjusted | Adjusted | Unadjusted | Adjusted | Unadjusted | Adjusted | Unadjusted | Adjusted | Unadjusted | Adjusted | |
| Emergency | 1921 (669–4343) | 3583 (440–9494) | 971 (403–1427) | 504 (281–655) | 209 (200–218) | 479 (427–531) | 772 (343–1201) | 2308 (1899–2717) | 1064 (479–1947) | 1783 (579–3787) |
| Neonatal intensive care unita | 4197 (498–7896) | 2404 (540–4268) | 5671 (5671–5671) | 1590 (1590–1590) | 385 (385–385) | 1378 (1378–1378) | 190 (42–337) | 417 (356–478) | 2471 (1034–4088) | 1435 (880–2116) |
| Paediatrics | 855 (214–2092) | 642 (273–1253) | 2013 (1091–2935) | 800 (735–865) | 696 (429–963) | 2384 (1531–3237) | 1004 (223–1785) | 2138 (1734–2542) | 1110 (586–1730) | 1397 (839–1985) |
| Medicine | 647 (284–1311) | 562 (368–743) | 1878 (1051–3217) | 706 (605–779) | 172 (158–185) | 369 (276–462) | 239 (42–435) | 403 (226–579) | 839 (321–1575) | 535 (416–648) |
| Ophthalmology | 1169 (720–1679) | 1348 (667–1830) | 1712 (697–2726) | 404 (382–427) | 234 (127–340) | 988 (388–1589) | 734 (146–1322) | 1647 (1198–2096) | 985 (500–1519) | 1125 (727–1528) |
| Ear nose throat | 1249 (275–2080) | 1187 (564–2265) | 3028 (1650–4407) | 644 (562–725) | 302 (242–362) | 1334 (855–1812) | 1557 (570–2543) | 4270 (3790–4749) | 1502 (742–2382) | 1784 (973–2630) |
| Orthopaedics | 684 (179–1341) | 551 (332–750) | 2081 (780–3382) | 457 (415–499) | 401 (341–461) | 1687 (1102–2272) | 120 (120–120) | 898 (898–898) | 892 (433–1615) | 855 (584–1240) |
| Surgery | 993 (327–2024) | 856 (671–1220) | 1299 (549–2073) | 547 (370–819) | 461 (305–618) | 1755 (1268–2242) | 615 (62–1169) | 977 (380–1573) | 903 (506–1371) | 967 (624–1365) |
| Gynaecology | 1781 (172–3098) | 1642 (333–3267) | 2395 (1345–3446) | 1145 (846–1443) | 981 (816–1145) | 1860 (1389–2330) | 572 (74–1070) | 1020 (513–1527) | 1471 (857–2196) | 1442 (969–2033) |
| Dermatology | 1987 (1987–1987) | 872 (872–872) | 776 (776–776) | 6468 (6468–6468) | 1381 (1209–1547) | 3670 (2871–4433) | ||||
| Chest (pulmonary medicine) | 3090 (3090–3090) | 488 (488–488) | 3090 (3090–3090) | 488 (488–488) | ||||||
| Operating theatreb | 6784 (3453–12,892) | 6405 (3770–8781) | 3890 (3890–3890) | 1530 (1530–1530) | 2171 (1044–3297) | 14,551 (1589–27,513) | 4764 (3268–6960) | 5487 (3256–7527) | ||
Values are given as cost [₹] (95% confidence interval); the adjusted cost represents the unit cost at 100% capacity utilisation
aUnit cost is per infant treated
bUnit cost is per patient operated on