Hospitalization budget impact during the COVID-19 pandemic in Spain

Abstract Objectives The aim was to determine the direct impact of the COVID-19 pandemic on Spain’s health budget. Methods Budget impact analyses based on retrospective data from patients with suspected severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) admitted to a Spanish hospital betwee...

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Autores principales:	F. J. Carrera-Hueso, L. Álvarez-Arroyo, J. E. Poquet-Jornet, P. Vázquez-Ferreiro, R. Martínez-Gonzalbez, D. El-Qutob, M. A. Ramón-Barrios, F. Martínez-Martínez, J. L. Poveda-Andrés, C. Crespo-Palomo
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Costs and cost analysis COVID-19 Health care costs Clinical laboratory tests Hospitalization Budgets Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/8901c29e63a04c8f9a8c5184489e4f86
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spelling	oai:doaj.org-article:8901c29e63a04c8f9a8c5184489e4f862021-11-08T11:17:33ZHospitalization budget impact during the COVID-19 pandemic in Spain10.1186/s13561-021-00340-02191-1991https://doaj.org/article/8901c29e63a04c8f9a8c5184489e4f862021-11-01T00:00:00Zhttps://doi.org/10.1186/s13561-021-00340-0https://doaj.org/toc/2191-1991Abstract Objectives The aim was to determine the direct impact of the COVID-19 pandemic on Spain’s health budget. Methods Budget 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. Results The 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). Conclusion The 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.F. J. Carrera-HuesoL. Álvarez-ArroyoJ. E. Poquet-JornetP. Vázquez-FerreiroR. Martínez-GonzalbezD. El-QutobM. A. Ramón-BarriosF. Martínez-MartínezJ. L. Poveda-AndrésC. Crespo-PalomoBMCarticleCosts and cost analysisCOVID-19Health care costsClinical laboratory testsHospitalizationBudgetsMedicine (General)R5-920ENHealth Economics Review, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Costs and cost analysis COVID-19 Health care costs Clinical laboratory tests Hospitalization Budgets Medicine (General) R5-920
spellingShingle	Costs and cost analysis COVID-19 Health care costs Clinical laboratory tests Hospitalization Budgets Medicine (General) R5-920 F. J. Carrera-Hueso L. Álvarez-Arroyo J. E. Poquet-Jornet P. Vázquez-Ferreiro R. Martínez-Gonzalbez D. El-Qutob M. A. Ramón-Barrios F. Martínez-Martínez J. L. Poveda-Andrés C. Crespo-Palomo Hospitalization budget impact during the COVID-19 pandemic in Spain
description	Abstract Objectives The aim was to determine the direct impact of the COVID-19 pandemic on Spain’s health budget. Methods Budget 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. Results The 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). Conclusion The 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.
format	article
author	F. J. Carrera-Hueso L. Álvarez-Arroyo J. E. Poquet-Jornet P. Vázquez-Ferreiro R. Martínez-Gonzalbez D. El-Qutob M. A. Ramón-Barrios F. Martínez-Martínez J. L. Poveda-Andrés C. Crespo-Palomo
author_facet	F. J. Carrera-Hueso L. Álvarez-Arroyo J. E. Poquet-Jornet P. Vázquez-Ferreiro R. Martínez-Gonzalbez D. El-Qutob M. A. Ramón-Barrios F. Martínez-Martínez J. L. Poveda-Andrés C. Crespo-Palomo
author_sort	F. J. Carrera-Hueso
title	Hospitalization budget impact during the COVID-19 pandemic in Spain
title_short	Hospitalization budget impact during the COVID-19 pandemic in Spain
title_full	Hospitalization budget impact during the COVID-19 pandemic in Spain
title_fullStr	Hospitalization budget impact during the COVID-19 pandemic in Spain
title_full_unstemmed	Hospitalization budget impact during the COVID-19 pandemic in Spain
title_sort	hospitalization budget impact during the covid-19 pandemic in spain
publisher	BMC
publishDate	2021
url	https://doaj.org/article/8901c29e63a04c8f9a8c5184489e4f86
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Hospitalization budget impact during the COVID-19 pandemic in Spain

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