ALZAK Foundation, Cartagena, Bolívar, Colômbia.
Universidad de Cartagena, Grupo de Investigación en Economía de la Salud, Cartagena, Bolívar, Colômbia.
Epidemiol Serv Saude. 2024 Jul 8;33:e2023830. doi: 10.1590/S2237-96222024V33E2023830.EN. eCollection 2024.
To estimate the economic burden associated with COVID-19 in Córdoba, Colombia, 2020 and 2021.
Economic burden study. Direct costs were analyzed from the third-party payer perspective using healthcare administrative databases and interviews from a cohort of confirmed COVID-19 cases from Córdoba. Costing aggregation was performed by the bottom-up method. Indirect costs were estimated using the productivity loss approach. Contrast tests and statistical models were estimated at 5% significance.
We studied 1,800 COVID-19 cases. The average economic cost of COVID-19 per episode was estimated at US$ 2,519 (95%CI 1,980;3,047). The direct medical cost component accounted for 92.9% of the total; out-of-pocket and indirect costs accounted for 2% and 5.1%, respectively.
COVID-19 economic cost was mainly due to direct medical costs. This study provided evidence of the economic burden faced by households due to COVID-19, with the most vulnerable households bearing much of the burden on their income.
估算 2020 年和 2021 年哥伦比亚科尔多瓦 COVID-19 的经济负担。
经济负担研究。从第三方支付者的角度，使用医疗保健管理数据库和科尔多瓦确诊 COVID-19 病例队列的访谈，对直接成本进行了分析。通过自下而上的方法进行成本汇总。使用生产力损失方法估算间接成本。在 5%的显著性水平下，进行对比检验和统计模型估计。
我们研究了 1800 例 COVID-19 病例。每例 COVID-19 病例的平均经济成本估计为 2519 美元（95%置信区间 1980 美元至 3047 美元）。直接医疗费用占总成本的 92.9%；自付费用和间接费用分别占 2%和 5.1%。
COVID-19 的经济成本主要归因于直接医疗费用。本研究提供了 COVID-19 给家庭带来的经济负担的证据，最脆弱的家庭承受了很大一部分收入负担。
