The financial impact of controlling a respiratory virus outbreak in a teaching hospital - Lessons learned from SARS
The financial impact of controlling a respiratory virus outbreak in a teaching hospital - Lessons learned from SARS
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DOI：
10.1007/bf03404018
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发表时间：
2005-01-01
影响因子：
4.3
通讯作者：
Gardam, MA
中科院分区：
文献类型：
--
作者：
Achonu, C;Laporte, A;Gardam, MA
背景：2003年严重急性呼吸系统综合症(SARS)的暴发和对大流行性流感的重新关注导致了对未来呼吸道疾病暴发的广泛规划。此类规划应包括对任何拟议的疾病控制战略的准确成本估计。从急诊医院的角度来看，这样的估算通常会考虑用品和设备的成本，但很少考虑间接成本，如因项目缩减而造成的收入损失。方法：回顾成本分析。成本和节省是从医院的角度使用财务记录计算的。对成本进行分类，以确定主要的支出和节省领域。结果：我们报告了在教学医院8周内控制SARS疫情的成本为1200万加元。收入和劳动力损失占所发生成本的三分之二，而服务、材料、用品和现有空间翻新的超额支出占其余三分之一。结论：仅考虑超额支出的成本估算可能大大低估了感染控制战略的真实成本。
Background: Outbreaks of Severe Acute Respiratory Syndrome (SARS) in 2003 and renewed concerns regarding pandemic influenza have resulted in widespread planning for future respiratory disease outbreaks. Such planning should include accurate cost estimates for any proposed disease control strategies. From the acute care hospital perspective, such estimates typically take into account the cost of supplies and equipment, but rarely consider indirect costs such as lost revenue due to the scaling down of programs.Methods: Retrospective cost analysis. Costs and savings were calculated from the hospital perspective using financial records. Costs were categorized to determine the major areas of expenditure and savings.Results: We report that controlling a SARS outbreak in a teaching hospital over an 8-week period cost $12 million Canadian. Lost revenue and labour accounted for two thirds of the costs incurred while excess spending on services, materials, supplies and renovation of existing space accounted for the remaining one third.Conclusions: Cost estimates that consider only excess expenditures may considerably underestimate the true cost of infection control strategies.