학술논문

COVID-19 medical care direct costs during the first year of pandemic in a hospital converted for increasing bed capacity
Document Type
article
Source
Gaceta Médica de México. 159(3)
Subject
Health Services and Systems
Biomedical and Clinical Sciences
Health Sciences
Comparative Effectiveness Research
Health Services
Clinical Research
Patient Safety
Health and social care services research
8.1 Organisation and delivery of services
8.2 Health and welfare economics
Good Health and Well Being
Humans
Retrospective Studies
Pandemics
COVID-19
Health Care Costs
Hospitals
Análisis de costos
Cost analysis
Costos
Costos de la atención a la salud
Costs
Health care costs
Hospitalización
Hospitalization
Intensive care unit
Unidad de cuidados intensivos
General & Internal Medicine
Language
Abstract
BackgroundCOVID-19 health emergency caused an increase in the demand for hospitalization and high costs for the health system.ObjectiveTo estimate COVID-19 care direct costs from the perspective of the healthcare provider in a secondary care hospital that underwent conversion during the first year of health emergency.Material and methodsRetrospective, observational study. Information on quantities of goods and services was obtained from the SINOLAVE and CVOED platforms and from hospital administrative sources. Four cost groups were defined and estimated with 2021 unit prices in US dollars.ResultsMean hospital length of stay (n = 3,241 patients) was 10.8 ± 8.2 days. Average cost of care per patient was USD 6,557 ± 4,997. Respiratory therapy with assisted mechanical ventilation was used by 13% of patients.ConclusionsThe costs of COVID-19 medical care represent a large amount of resources. Most part of the costs (95%) were derived from hospital stay, respiratory therapy without assisted mechanical ventilation and costs related to personal protective equipment, hygiene, infrastructure adaptation and payments to medical personnel.