Health service costs of paediatric cochlear implantation: influence of the scale and scope of activity

Barton, Garry R., Bloor, Karen E., Marshall, David H. and Summerfield, A. Quentin (2004) Health service costs of paediatric cochlear implantation: influence of the scale and scope of activity. International Journal of Audiology, 43 (7). pp. 369-76. ISSN 1708-8186

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Abstract

The health service cost of paediatric cochlear implantation (CI) varies among hospitals in the UK. The purpose of this study was to determine whether the variation is associated with differences in the scale and scope of activity in CI programmes. The health service cost of CI was estimated for 908 children implanted in 12 hospitals between 1989 and 1998. Annual levels of activity in implanting children and adults were monitored in the same hospitals. Costs of paediatric CI were lower in hospitals implanting larger numbers of children and adults, thereby benefiting from economies of scale and scope, respectively. These economies arose from lower per-child staff costs in larger programmes, and were estimated to be exhausted when a hospital implanted more than nine children and more than 20 adults each year. Accommodating increased numbers of children in an existing programme is predicted to cost less than setting up a new programme.

Item Type:	Article
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023) Faculty of Medicine and Health Sciences > Research Groups > Norwich Clinical Trials Unit Faculty of Medicine and Health Sciences > Research Groups > Health Services and Primary Care Faculty of Medicine and Health Sciences > Research Groups > Health Economics Faculty of Medicine and Health Sciences > Research Centres > Population Health
Depositing User:	EPrints Services
Date Deposited:	25 Nov 2010 11:11
Last Modified:	19 Oct 2023 00:56
URI:	https://ueaeprints.uea.ac.uk/id/eprint/14215
DOI:	10.1080/14992020400050047

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