Impact of the COVID-19 pandemic on a tertiary care public hospital in Singapore: resources and economic costs.
Impact of the COVID-19 pandemic on a tertiary care public hospital in Singapore: resources and economic costs.
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DOI：
10.1016/j.jhin.2021.12.007
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发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
Graves N
中科院分区：
文献类型：
--
作者：
Cai Y;Kwek S;Tang SSL;Saffari SE;Lum E;Yoon S;Ansah JP;Matchar DB;Kwa AL;Ang KA;Thumboo J;Ong MEH;Graves N
COVID-19 大流行促使医院采取严格措施应对。准确估计疫情爆发时使用的成本和资源可以指导应对措施的评估。我们报告了新加坡一家三级医院与 COVID-19 相关的财务支出、COVID-19 患者的住院天数以及因 COVID-19 导致的医院服务中断。我们对新加坡最大的公立医院2020年1月至12月进行了回顾性成本分析。成本是从医院的角度估算的。我们审查了直接应对 COVID-19 的财政支出；与 COVID-19 住院患者相关的入院数据；与前几年 2018 年和 2019 年相比，2020 年门诊和急诊就诊次数、非急诊手术、住院天数。贝叶斯时间序列用于估计流离失所的服务规模。医院因 COVID-19 相关费用产生了 4196 万美元。设施建设和资本资产占支出的51.6%；病人护理用品占 35.1%。在 2020 年接受过 COVID-19 检测的 19,611 名住院患者中，727 名 (3.7%) 感染了 COVID-19。 2020 年，COVID-19 患者的住院天数和重症监护病房 (ICU) 总天数分别为 8009 天和 8 天。自二月份疾病爆发警报级别提高以来，所有医院服务均出现下降；六月封锁解除后，大多数服务很快恢复。 COVID-19 导致医疗费用增加和医院服务流失。我们的研究结果有助于为 COVID-19 应对措施的经济评估提供信息，并提供有关未来疫情爆发的预期成本的一些信息。
The COVID-19 pandemic has prompted hospitals to respond with stringent measures. Accurate estimates of costs and resources used in outbreaks can guide evaluations of responses. We report on the financial expenditure associated with COVID-19, the bed-days used for COVID-19 patients and hospital services displaced due to COVID-19 in a Singapore tertiary hospital. We conducted a retrospective cost analysis from January to December 2020 in the largest public hospital in Singapore. Costs were estimated from the hospital perspective. We examined financial expenditures made in direct response to COVID-19; hospital admissions data related to COVID-19 inpatients; and the number of outpatient and emergency department visits, non-emergency surgeries, inpatient days in 2020, compared with preceding years of 2018 and 2019. Bayesian time-series was used to estimate the magnitude of displaced services. USD $41.96 million was incurred in the hospital for COVID-19-related expenses. Facilities set-up and capital assets accounted for 51.6% of the expenditure; patient-care supplies comprised 35.1%. Of the 19,611 inpatients tested for COVID-19 in 2020, 727 (3.7%) had COVID-19. The total inpatient- and intensive care unit (ICU)-days for COVID-19 patients in 2020 were 8009 and 8 days, respectively. A decline in all hospital services was observed from February following a raised disease outbreak alert level; most services quickly resumed when the lockdown was lifted in June. COVID-19 led to an increase in healthcare expenses and a displacement in hospital services. Our findings are useful for informing economic evaluations of COVID-19 response and provide some information about the expected costs of future outbreaks.
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影响因子：
168.9
作者：
Huang, Chaolin;Wang, Yeming;Cao, Bin
通讯作者：
Cao, Bin
DOI：
10.1007/bf03404018
发表时间：
2005-01-01
影响因子：
4.3
作者：
Achonu, C;Laporte, A;Gardam, MA
通讯作者：
Gardam, MA
影响因子：
3.2
作者：
Quah, Li Juan Joy;Tan, Boon Kiat Kenneth;Venkataraman, Anantharaman
通讯作者：
Venkataraman, Anantharaman
影响因子：
2.7
作者：
Thangayah, Jeevan Raaj;Tan, Kenneth Boon Kiat;Fua, Tzay-Ping
通讯作者：
Fua, Tzay-Ping
影响因子：
17.3
作者：
Mulholland RH;Wood R;Stagg HR;Fischbacher C;Villacampa J;Simpson CR;Vasileiou E;McCowan C;Stock SJ;Docherty AB;Ritchie LD;Agrawal U;Robertson C;Murray JL;MacKenzie F;Sheikh A
通讯作者：
Sheikh A