Türkiye’deki Bir Üniversite Hastanesinde Yatarak Tedavi Edilen COVID-19 Hastalarının Tedavi Maliyet Analizi

Abstract

Amaç: Coronavirus Hastalığı-2019 (COVID-19) nedeniyle Düzce Üniversitesi Sağlık Uygulama ve Araştırma Merkezinde (Hastanesinde- DUHARH) yatarak tedavi gören hastaların Sosyal Güvenlik Kurumu (SGK) perspektifi açısından maliyet analizini yaparak hem hastane yönetimine hem de hastalığın yönetim sürecinde rol oynayan sağlık politikası yapıcılarına yol göstermektir. Materyal ve Metod: Araştırma, DUHARH’da COVID-19 hastalığı nedeniyle yoğun bakım ve diğer kliniklerde Mart/2020-Aralık/2020 dönemi içerisinde yatarak tedavi edilen 582 hastayı kapsamaktadır. Araştırmada örneklem seçilmemiş evrenin tamamı çalışmaya dahil edilmiştir. Retrospektif olarak elde edilen veriler, aşağıdan yukarı, doküman analizi ve çok değişkenli regresyon analiz yönetimiyle analiz edilmiştir. Results: Araştırma yapılan 582 hastanın %60’ı erkek (350 kişi), %40 kadın (232 kişi), ortalama yatış süresi 5,7 gün, Pandemi Yoğun Bakım Ünitesinde %23 (134 kişi) diğer pandemi servislerinde %77 (448 kişi) olduğu tespit edilmiştir. Hastane tarafından SSI’ya fatura edilen toplam tutar 7.378.695,00 TL ($1,052,595) olup bunun %79’nun müdahale maliyeti olduğu ve hasta başı günlük ortalama yatış maliyetin ± 2.099,80 TL ($ 299,54) olduğu saptanmıştır. Ayrıca cinsiyet ayrımının (erkeklerin), yaşlı hastaların, yatış yerinin (yoğun bakım) ve yatış süresi P<0.05 olduğundan ilaç, malzeme, müdahale ve tetkik maliyetlerini artırdığı tespit edilmiştir. Sonuç: Yapılan çalışmada erkeklerin, yaşın ve yatış süresinin artması ve yoğun bakımda tedavi edilmenin maliyetleri artırdığı ve bunlar içerisinde en yüksek müdahale maliyetlerinin olduğu tespit edilmiştir. Hastalık maliyetinin azaltılması için daha düşük bedelli maliyet unsurlarına başvurulması, kısıtlamalarla hastalığın bulaş hızının ortadan kaldırılması ve nihayetinde tüm halkın bir an önce aşılanması gerekir.

Keywords

• COVID-19
• hastalık maliyeti
• tedavi maliyeti
• maliyet yönetimi

Treatment Cost Analysis of COVID-19 Inpatients Treated at a University Hospital in Turkey

Abstract

Objective: To guide both the hospital management and the health policymakers who play a role in the management process of their disease by analysing the costs of the patients receiving inpatient treatment in Düzce University Health Application and Research Center (Hospital - DUHARH) due to coronavirus disease 2019 (COVID-19) from the perspective of the Social Security Institution (SSI). Material and Method: The study covers 582 patients who received inpatient treatment in intensive care and other clinics in March/2020-December/2020 due to COVID-19 disease in DUHARH. In the study, all sample unselected populations were included. Retrospectively obtained data were analysed using bottom-up, document analysis, and multivariate regression analysis. Results: It was determined that 60% of the 582 patients studied were male (350 people), 40% female (232 people) and that the average hospitalization period was 5.7 days, 23% (134 people) in the Pandemic Intensive Care Unit and 77% (448 people) in other pandemic services. The total amount invoiced to SSI by the hospital was 7.378.695,00 TRY ($ 1,052,595). It was determined that 79% of this was the intervention cost and the average daily hospitalization cost per patient was ± 2,099.80 TRY ($ 299.54). Besides, since gender discrimination is male, elderly patients are hospitalized in intensive care. The hospitalization period is P<0.05. It was observed that medicine, material, intervention, and examination costs have increased. Conclusion: In the study conducted, it was observed that the increase in men, age and hospitalization period, and treatment in intensive care increased the costs, and among these, the intervention costs were the highest. To reduce the cost of illness, it is necessary to use lower-cost factors to eliminate the disease rate with restrictions and ultimately to vaccinate the whole population as soon as possible.

Keywords

• COVID-19
• cost of illness
• cost of treatment
• cost management

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