The Economic Burden of Coronavirus Disease 2019 (COVID-19): Evidence from Iran
| Autor: | Khosro Keshavarz, Javad Shahmohamadi, Elnaz Sadeghi, Zahra Kavosi, Mohsen Ghaffari Darab |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Referral Cross-sectional study Economic burden Iran 01 natural sciences Health administration Hospitals University Young Adult 03 medical and health sciences Indirect costs 0302 clinical medicine Cost of Illness Environmental health Absenteeism Prevalence medicine Humans 030212 general & internal medicine 0101 mathematics Referral and Consultation Aged Intensive care units business.industry Incidence Incidence (epidemiology) Public health lcsh:Public aspects of medicine 010102 general mathematics Cost-of-illness COVID-19 lcsh:RA1-1270 Health Care Costs Middle Aged Health policy Hospitalization Coronavirus Cross-Sectional Studies Economic evaluation Income Female business Hospital costs Research Article |
| Zdroj: | BMC Health Services Research, Vol 21, Iss 1, Pp 1-7 (2021) BMC Health Services Research |
| Popis: | Abstract This study aimed to estimate both direct medical and indirect costs of treating the Coronavirus disease 2019 (COVID-19) from a societal perspective in the patients at a referral hospital in Fars province as well as the economic burden of COVID-19 in Iran in 2020. Methods This study is a partial economic evaluation and a cross-sectional cost-description study conducted based on the data of the COVID-19 patients referred to a referral university hospital in Fars province between March and July 2020. The data were collected by examining the patients’ records and accounting information systems. The subjects included all the inpatients with COVID-19 (477 individuals) who admitted to the medical centre during the 4 months. Bottom-up costing (also called micro-costing approach), incidence-based and income-based human capital approaches were used as the main methodological features of this study. Results The direct medical costs were estimated to be 28,240,025,968 Rials ($ 1,791,172) in total with mean cost of 59,203,409 Rials ($ 3755) per person (SD = 4684 $/ 73,855,161 Rials) in which significant part (41%) was that of intensive and general care beds (11,596,217,487 Rials equal to $ 735,510 (M = 24,310,728 Rials or $ 1542, SD = 34,184,949 Rials or $ 2168(. The second to which were the costs of medicines and medical consumables (28%). The mean indirect costs, including income loss due to premature death, economic production loss due to hospitalization and job absenteeism during recovery course were estimated to be 129,870,974 Rials ($ 11,634) per person. Furthermore, the economic burden of the disease in the country for inpatient cases with the definitive diagnosis was 22,688,925,933,095 Rials equal to $ 1,439,083,784. Conclusion The results of this study showed that the severe status of the disease would bring about the extremely high cost of illness in this case. It is estimated that the high prevalence rate of COVID-19 has been imposing a heavy economic burden on the country and health system directly that may result in rationing or painful cost-control approaches. |
| Databáze: | OpenAIRE |
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