Hospitalization budget impact during the COVID-19 pandemic in Spain

Health Economics Review

D. El-Qutob¹  C. Crespo-Palomo²  F. Martínez-Martínez³  R. Martínez-Gonzalbez⁴  M. A. Ramón-Barrios⁵  P. Vázquez-Ferreiro⁶  J. L. Poveda-Andrés⁷  J. E. Poquet-Jornet⁸  F. J. Carrera-Hueso⁹  L. Álvarez-Arroyo^1,10 

[1] Allergy Service, University Hospital La Plana, Villarreal (Castelló), Spain;Department G.M. statistics, University of Barcelona, Barcelona, Spain;Axentiva Solutions, Barcelona, Spain;Grupo Investigación de Atención Farmacéutica, Pharmacy and Pharmaceutical Technology Department, University of Granada, Granada, Spain;Informatics and computer Service, University Hospital La Plana, Villarreal (Castelló), Spain;Internal Medicine Unit, University Hospital Doctor Peset, Valencia, Spain;Ophtalmology Department, Hospital Virxe da Xunqueira, Cee (A Coruña), Spain;Pharmacy Department, Hospital Universitari i Politecnic La Fe, Valencia, Spain;Pharmacy Service, Hospital de Denia (Marina Salud), Denia (Alicante), Spain;Pharmacy Service, University Hospital La Plana, Carretera de Vila-real a Burriana, Km. 0.5, 12540 Villarreal, Castellón, Spain;Pharmacy Service, University Hospital La Plana, Carretera de Vila-real a Burriana, Km. 0.5, 12540 Villarreal, Castellón, Spain;Pharmacy Doctoral Program at University of Granada, Granada, Spain;

关键词: Costs and cost analysis;    COVID-19;    Health care costs;    Clinical laboratory tests;    Hospitalization;    Budgets;   

DOI  :  10.1186/s13561-021-00340-0

来源: Springer

【 摘 要 】

ObjectivesThe aim was to determine the direct impact of the COVID-19 pandemic on Spain’s health budget.MethodsBudget impact analyses based on retrospective data from patients with suspected severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) admitted to a Spanish hospital between February 26 and May 21, 2020. Direct medical costs from the perspective of the hospital were calculated. We analyzed diagnostic tests, drugs, medical and nursing care, and isolation ward and ICU stays for three cohorts: patients seen in the emergency room only, hospitalized patients who tested positive for SARS-CoV-2, and patients who tested negative.ResultsThe impact on the hospital’s budget for the 3 months was calculated at €15,633,180, 97.4% of which was related to health care and hospitalization. ICU stays accounted for 5.3% of the total costs. The mean cost per patient was €10,744. The main costs were staffing costs (10,131 to 11,357 €/patient for physicians and 10,274 to 11,215 €/patient for nurses). Scenario analysis showed that the range of hospital expenditure was between €14,693,256 and €16,524,924. The median impact of the pandemic on the Spanish health budget in the sensitivity analysis using bootstrapped individual data was €9357 million (interquartile range [IQR], 9071 to 9689) for the conservative scenario (113,588 hospital admissions and 11,664 ICU admissions) and €10,385 million (IQR, 110,030 to 10,758) for the worst-case scenario (including suspected cases).ConclusionThe impact of COVID-19 on the Spanish public health budget (12.3% of total public health expenditure) is greater than multiple sclerosis, cancer and diabetes cost.

【 授权许可】

CC BY