COVID-19 与医院管理成本：意大利的经验。
COVID-19 and hospital management costs: the Italian experience.
机构信息
Healthcare Datascience Lab (HD LAB), Centre for Health Economics, Social and Health Care Management, Carlo Cattaneo - LIUC University, 21053, Castellanza, Italy.
出版信息
BMC Health Serv Res. 2022 Aug 4;22(1):991. doi: 10.1186/s12913-022-08365-9.
BACKGROUND
This article investigates the hospital costs related to the management of COVID-19 positive patients, requiring a hospitalization (from the positivity confirmation to discharge, including rehabilitation activities).
METHODS
A time-driven activity-based costing analysis, grounding on administrative and accounting flows provided by the management control, was implemented to define costs related to the hospital management of COVID-19 positive patients, according to real-word data, derived from six public Italian Hospitals, in 2020.
RESULTS
Results reported that the higher the complexity of care, the higher the hospitalization cost per day (low-complexity = €475.86; medium-complexity = €700.20; high-complexity = €1,401.65). Focusing on the entire clinical pathway, the overall resources absorption, with the inclusion of rehabilitation costs, ranged from 6,198.02€ to 32,141.20€, dependent from the patient's clinical condition.
CONCLUSIONS
Data could represent the baseline cost for COVID-19 hospital management, thus being useful for the further development of proper reimbursement tariffs devoted to hospitalized infected patients.
背景
本文研究了与管理 COVID-19 阳性患者相关的医院成本，这些患者需要住院治疗（从阳性确诊到出院，包括康复活动）。
方法
根据管理控制提供的行政和会计流程，采用时间驱动的作业成本分析方法，根据 2020 年六家意大利公立医院的实际数据，确定与 COVID-19 阳性患者的医院管理相关的成本。
结果
结果表明，护理复杂性越高，每天的住院费用越高（低复杂性=475.86 欧元；中复杂性=700.20 欧元；高复杂性=1401.65 欧元）。从整个临床路径来看，包括康复费用在内的整体资源消耗从 6198.02 欧元到 32141.20 欧元不等，取决于患者的临床状况。
结论
数据可以代表 COVID-19 医院管理的基准成本，因此对于制定专门用于感染住院患者的适当报销费率非常有用。
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