Health services utilization, work absenteeism and costs of pandemic influenza A (H1N1) 2009 in Spain: a multicenter-longitudinal study.
Identifieur interne : 000323 ( Main/Exploration ); précédent : 000322; suivant : 000324Health services utilization, work absenteeism and costs of pandemic influenza A (H1N1) 2009 in Spain: a multicenter-longitudinal study.
Auteurs : Mariana Galante [Espagne] ; Olatz Garin ; Elisa Sicuri ; Francesc Cots ; Anna García-Altés ; Montserrat Ferrer ; Àngela Dominguez ; Jordi AlonsoSource :
- PloS one [ 1932-6203 ] ; 2012.
Descripteurs français
- KwdFr :
- MESH :
- statistiques et données numériques : Services de santé.
- économie : Congé maladie, Grippe humaine, Services de santé.
- Coûts des soins de santé, Espagne, Humains, Pandémies, Sous-type H1N1 du virus de la grippe A, Études longitudinales.
English descriptors
- KwdEn :
- MESH :
- economics : Health Services, Influenza, Human, Sick Leave.
- statistics & numerical data : Health Services.
- Health Care Costs, Humans, Influenza A Virus, H1N1 Subtype, Longitudinal Studies, Pandemics, Spain.
Abstract
BACKGROUND
The aim of this study was to estimate healthcare resource utilization, work absenteeism and cost per patient with pandemic influenza (H1N1)2009, from its beginning to March 2010, in Spain. We also estimated the economic impact on healthcare services.
METHODS AND FINDINGS
Longitudinal, descriptive, multicenter study of in- and outpatients with confirmed diagnosis of influenza A (H1N1) in Spain. Temporal distribution of cases was comparable to that in Spain. Information of healthcare and social resources used from one week before admission (inpatient) or index-medical visit (outpatient) until recovery was gathered. Unit cost was imputed to utilization frequency for the monetary valuation of use. Mean cost per patient was calculated. A sensitivity analysis was conducted, and variables correlated with cost per patient were identified. Economic impact on the healthcare system was estimated using healthcare costs per patient and both, the reported number of confirmed and clinical cases in Spain. 172 inpatients and 224 outpatients were included. Less than 10% were over 65 years old and more than 50% had previous comorbidities. 12.8% of inpatients were admitted to the Intensive Care Unit. Mean length of hospital stay of patients not requiring critical care was 5 days (SD = 4.4). All working-inpatients and 91.7% working-outpatients went on sick leave. On average, work absenteeism was 30.5 days (SD = 20.7) for the first ones and 9 days (SD = 6.3) for the latest. Caregivers of 21.7% of inpatients and 8.5% of outpatients also had work absenteeism during 10.7 and 4.1 days on average respectively. Mean cost was €6,236/inpatient (CI95% = 1,384-14,623) and €940/outpatient (CI95% = 66-3,064). The healthcare economic burden of patients with confirmed influenza was €144,773,577 (IC95% 13,753,043-383,467,535). More than 86% of expenditures were a result of outpatients' utilization.
CONCLUSION
Cost per H1N1-patient did not defer much from seasonal influenza estimates. Hospitalizations and work absenteeism represented the highest cost per patient.
DOI: 10.1371/journal.pone.0031696
PubMed: 22348122
PubMed Central: PMC3279412
Affiliations:
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(économie)</term><term>Humains (MeSH)</term><term>Pandémies (MeSH)</term><term>Services de santé (statistiques et données numériques)</term><term>Services de santé (économie)</term><term>Sous-type H1N1 du virus de la grippe A (MeSH)</term><term>Études longitudinales (MeSH)</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Health Services</term><term>Influenza, Human</term><term>Sick Leave</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Health Services</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Services de santé</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Congé maladie</term><term>Grippe humaine</term><term>Services de santé</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Health Care Costs</term><term>Humans</term><term>Influenza A Virus, H1N1 Subtype</term><term>Longitudinal Studies</term><term>Pandemics</term><term>Spain</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Coûts des soins de santé</term><term>Espagne</term><term>Humains</term><term>Pandémies</term><term>Sous-type H1N1 du virus de la grippe A</term><term>Études longitudinales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>The aim of this study was to estimate healthcare resource utilization, work absenteeism and cost per patient with pandemic influenza (H1N1)2009, from its beginning to March 2010, in Spain. We also estimated the economic impact on healthcare services.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS AND FINDINGS</b></p><p>Longitudinal, descriptive, multicenter study of in- and outpatients with confirmed diagnosis of influenza A (H1N1) in Spain. Temporal distribution of cases was comparable to that in Spain. Information of healthcare and social resources used from one week before admission (inpatient) or index-medical visit (outpatient) until recovery was gathered. Unit cost was imputed to utilization frequency for the monetary valuation of use. Mean cost per patient was calculated. A sensitivity analysis was conducted, and variables correlated with cost per patient were identified. Economic impact on the healthcare system was estimated using healthcare costs per patient and both, the reported number of confirmed and clinical cases in Spain. 172 inpatients and 224 outpatients were included. Less than 10% were over 65 years old and more than 50% had previous comorbidities. 12.8% of inpatients were admitted to the Intensive Care Unit. Mean length of hospital stay of patients not requiring critical care was 5 days (SD = 4.4). All working-inpatients and 91.7% working-outpatients went on sick leave. On average, work absenteeism was 30.5 days (SD = 20.7) for the first ones and 9 days (SD = 6.3) for the latest. Caregivers of 21.7% of inpatients and 8.5% of outpatients also had work absenteeism during 10.7 and 4.1 days on average respectively. Mean cost was €6,236/inpatient (CI95% = 1,384-14,623) and €940/outpatient (CI95% = 66-3,064). The healthcare economic burden of patients with confirmed influenza was €144,773,577 (IC95% 13,753,043-383,467,535). More than 86% of expenditures were a result of outpatients' utilization.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Cost per H1N1-patient did not defer much from seasonal influenza estimates. Hospitalizations and work absenteeism represented the highest cost per patient.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22348122</PMID><DateCompleted><Year>2012</Year><Month>07</Month><Day>31</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>01</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1932-6203</ISSN><JournalIssue CitedMedium="Internet"><Volume>7</Volume><Issue>2</Issue><PubDate><Year>2012</Year></PubDate></JournalIssue><Title>PloS one</Title><ISOAbbreviation>PLoS ONE</ISOAbbreviation></Journal><ArticleTitle>Health services utilization, work absenteeism and costs of pandemic influenza A (H1N1) 2009 in Spain: a multicenter-longitudinal study.</ArticleTitle><Pagination><MedlinePgn>e31696</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1371/journal.pone.0031696</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The aim of this study was to estimate healthcare resource utilization, work absenteeism and cost per patient with pandemic influenza (H1N1)2009, from its beginning to March 2010, in Spain. We also estimated the economic impact on healthcare services.</AbstractText><AbstractText Label="METHODS AND FINDINGS" NlmCategory="RESULTS">Longitudinal, descriptive, multicenter study of in- and outpatients with confirmed diagnosis of influenza A (H1N1) in Spain. Temporal distribution of cases was comparable to that in Spain. Information of healthcare and social resources used from one week before admission (inpatient) or index-medical visit (outpatient) until recovery was gathered. Unit cost was imputed to utilization frequency for the monetary valuation of use. Mean cost per patient was calculated. A sensitivity analysis was conducted, and variables correlated with cost per patient were identified. Economic impact on the healthcare system was estimated using healthcare costs per patient and both, the reported number of confirmed and clinical cases in Spain. 172 inpatients and 224 outpatients were included. Less than 10% were over 65 years old and more than 50% had previous comorbidities. 12.8% of inpatients were admitted to the Intensive Care Unit. Mean length of hospital stay of patients not requiring critical care was 5 days (SD = 4.4). All working-inpatients and 91.7% working-outpatients went on sick leave. On average, work absenteeism was 30.5 days (SD = 20.7) for the first ones and 9 days (SD = 6.3) for the latest. Caregivers of 21.7% of inpatients and 8.5% of outpatients also had work absenteeism during 10.7 and 4.1 days on average respectively. Mean cost was €6,236/inpatient (CI95% = 1,384-14,623) and €940/outpatient (CI95% = 66-3,064). The healthcare economic burden of patients with confirmed influenza was €144,773,577 (IC95% 13,753,043-383,467,535). More than 86% of expenditures were a result of outpatients' utilization.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Cost per H1N1-patient did not defer much from seasonal influenza estimates. 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UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D053118" MajorTopicYN="Y">Influenza A Virus, H1N1 Subtype</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="Y">economics</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008137" MajorTopicYN="N">Longitudinal Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018582" MajorTopicYN="N">Sick Leave</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013030" 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sortKey="Dominguez, Angela" sort="Dominguez, Angela" uniqKey="Dominguez A" first="Àngela" last="Dominguez">Àngela Dominguez</name><name sortKey="Ferrer, Montserrat" sort="Ferrer, Montserrat" uniqKey="Ferrer M" first="Montserrat" last="Ferrer">Montserrat Ferrer</name><name sortKey="Garcia Altes, Anna" sort="Garcia Altes, Anna" uniqKey="Garcia Altes A" first="Anna" last="García-Altés">Anna García-Altés</name><name sortKey="Garin, Olatz" sort="Garin, Olatz" uniqKey="Garin O" first="Olatz" last="Garin">Olatz Garin</name><name sortKey="Sicuri, Elisa" sort="Sicuri, Elisa" uniqKey="Sicuri E" first="Elisa" last="Sicuri">Elisa Sicuri</name></noCountry><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Galante, Mariana" sort="Galante, Mariana" uniqKey="Galante M" first="Mariana" last="Galante">Mariana Galante</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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