Mirhashemi Seyed Hadi, Mostafavi Hakimeh, Mollajafari Fariba, Ahmad Zohreh Zadeh, Hashempour Reza
Department of General Surgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Health Economics and Statistics, Vice-Chancellor's Office in Treatment Affairs, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Int J Crit Illn Inj Sci. 2022 Jan-Mar;12(1):10-16. doi: 10.4103/ijciis.ijciis_57_21. Epub 2022 Mar 24.
Although our daily life and economics were severely affected by COVID-19, cost analysis of the disease has not been conducted in Iran. Hence, we aimed to perform a cost analysis study and then estimate direct medical costs of COVID-19.
A cross-sectional study was performed in Tehran and recorded medical files from March 1, 2020, to September 1, 2020, were examined. A predefined electronic form was developed and all required variables were included. All people whose both first and final diagnoses were COVID-19 positive and were admitted in governmental hospitals were considered for inclusion. Using stratified random sampling method, 400 medical records were evaluated to gather all data. STATA 14 was used for data analysis.
We evaluated 400 medical records and the age of patients ranged from 22 to 71 years. The mean cost of COVID-19 was 1434 USD. Of 400 patients, 129 of them had underlying disease and statistical significance was observed in people who had underlying diseases than people who did not have underlying disease.
Beds and medications were the most important factors that added to the costs. COVID-19 has undoubtedly imposed a high financial burden on the health system. It is highly recommended that patients with positive test result be strictly encouraged to stay at home and adhere to safety protocols.
尽管我们的日常生活和经济受到新冠疫情的严重影响,但伊朗尚未对该疾病进行成本分析。因此,我们旨在开展一项成本分析研究,进而估算新冠疫情的直接医疗成本。
在德黑兰开展了一项横断面研究,对2020年3月1日至2020年9月1日期间记录的医疗档案进行审查。设计了一份预定义的电子表格,并纳入所有所需变量。纳入所有首次诊断和最终诊断均为新冠病毒阳性且入住政府医院的患者。采用分层随机抽样方法,评估400份医疗记录以收集所有数据。使用STATA 14进行数据分析。
我们评估了400份医疗记录,患者年龄在22岁至71岁之间。新冠疫情的平均成本为1434美元。在400名患者中,129人有基础疾病,有基础疾病的患者与无基础疾病的患者相比具有统计学意义。
床位和药物是增加成本的最重要因素。新冠疫情无疑给卫生系统带来了沉重的经济负担。强烈建议严格鼓励检测结果呈阳性的患者居家并遵守安全协议。