COVID-19 and hospital management costs: the Italian experience

COVID-19 and hospital management costs: the Italian experience

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). A time-driven activity-based costing analysis, grounding on administrative and accou...

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Bibliographic Details
Published in:BMC health services research Vol. 22; no. 1; pp. 991 - 10
Main Authors: Foglia, Emanuela, Ferrario, Lucrezia, Schettini, Fabrizio, Pagani, M Beatrice, Dalla Bona, Martina, Porazzi, Emanuele
Format: Journal Article
Language:English
Published: England BioMed Central Ltd 04-08-2022
BioMed Central
BMC
Subjects:
Administration
Control
Coronaviruses
COVID-19
COVID-19 - epidemiology
Diagnosis related groups
DRGs
Economic aspects
Economic evaluation
Epidemics
Expenditures
Health services
Hospital administration
Hospital Costs
Hospitalization
Hospitalization costs
Hospitals
Hospitals, Public
Humans
Italy
Labor costs
Length of stay
Medical equipment
Pandemics
Patient care planning
Patient Discharge
Personal protective equipment
Professionals
Reimbursement
Severe acute respiratory syndrome coronavirus 2
Social aspects
Tariffs
Time-driven activity-based costing analysis
Italy
COVID-19
Hospitalization costs
Italy
Time-driven activity-based costing analysis
Economic evaluation
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Summary: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). 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 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. 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.
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ISSN:1472-6963
1472-6963
DOI:10.1186/s12913-022-08365-9