Impact of coronavirus disease 2019 on the utilization of hospital services and development of optimal pandemic control strategy in Chinese tertiary hospitals during the Omicron wave.

Autor: Yu D; Xiangya Hospital of Central South University, Changsha, China., Wang D; Xiangya Hospital of Central South University, Changsha, China., Chen Y; Changsha Normin Health Technology Ltd, Changsha, China., Dong T; Xiangya Hospital of Central South University, Changsha, China., Zhang Y; The People's Hospital of Liuyang, Changsha, China., Huang M; Changsha Central Hospital, Changsha, China., Wu A; Xiangya Hospital of Central South University, Changsha, China., Ouyang Y; Xiangya Hospital of Central South University, Changsha, China., Chen W; Xiangya Hospital of Central South University, Changsha, China.; Changsha Normin Health Technology Ltd, Changsha, China., Qian Z; Xiangya Hospital of Central South University, Changsha, China. xyqzx@csu.edu.cn.
Jazyk: angličtina
Zdroj: BMC health services research [BMC Health Serv Res] 2024 Jul 23; Vol. 24 (1), pp. 833. Date of Electronic Publication: 2024 Jul 23.
DOI: 10.1186/s12913-024-11289-1
Abstrakt: Background: This study aimed to assess the impact of coronavirus disease 2019 (COVID-19) on hospital service utilization and revenue in Chinese tertiary hospitals and develop an optimal pandemic control strategy (OPCS) for the peak period of the Omicron wave.
Methods: Retrospective data from three Chinese tertiary hospitals (provincial, city, and county level) were analyzed for three phases: pre-outbreak (Jan-Apr 2019), outbreak (Jan-Apr 2020), and post-outbreak (Jan-Apr 2021). OPCS was developed under the guidance of the China government pandemic control policy during post-break phase of COVID-19. A decision-tree model was constructed to compare OPCS to strict pandemic control strategy during outbreak phase for the hospital service utilization and hospital revenue in a provincial tertiary hospital during the Omicron wave.
Results: Outpatient, emergency room (ER) visits, hospitalizations, and intensive care admissions dropped by 33.8-53.4% during the outbreak, with the provincial hospital being the most affected. Hospital revenue also declined, especially for the provincial hospital (40.1%). Post-outbreak, most services recovered, but ER visits remained lower (11.6% decrease for provincial hospital, 46.5% for county hospital). Total income and expenditure decreased, with the provincial hospital experiencing the most significant revenue reduction (45.7%). OPCS showed greater utilization of medical services (31.6 times more outpatient visits; 1.7 times more inpatient days; 3.4% more surgery volume) and higher revenue (¥220.8 million more) compared to the strict pandemic control strategy.
Conclusions: COVID-19 measures were associated with less hospital service utilization and revenue in Chinese tertiary hospitals. The developed OPCS in Chinese tertiary hospitals, focusing on isolating infected inpatients but not shutting down the hospital facilities exposed to virus, could be effective in optimizing hospital service utilization and hospital revenue during the Omicron wave.
(© 2024. The Author(s).)
Databáze: MEDLINE
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