INVESTIGATION OF HEALTH INSURANCE COSTS OF THE PATIENTS WITH MILD COVID-19 SYMPTOMS IN EMERGENCY ROOM
Introduction: This study aims to understand the burden of invoice costs of outpatients with mild Covid-19 symptoms on Social Security Institution (SSI); also, how it may have influenced the current economic situation.
Material and Method: This research is a cross-sectional, retrospective, and descriptive study. The study universe includes the cases who applied to the emergency room (ER) with the symptoms of Covid-19. The sample group was the patients who applied to the Sakarya Training and Research Hospital (SEAH) pandemic ER between 01/09/2020 and 30/06/2021.
Results: During the study period, 130,975 patients were admitted to the pandemic ER. The mean emergency service bill of the cases was $10.6 (± 9), and the lowest was $2.2; the highest was $201.7. There was a weak but significant positive correlation between the patients' age and invoice amount (spearman= 0.051, p=0.001). It was perceived that the emergency service bills of the inpatients (mean=21.9 $) were more than twice that of the outpatients (mean=10.3 $).
Conclusion: In pandemic ER, mild symptomatic young patients' bills can be cheap. It was observed that emergency physicians did not apply too many tests and imaging methods in this patient group and were content only with Rt-PCR scanning. Also, ER bills can increase with age.
WHO announces COVID-19 outbreak a pandemic 2020. http://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/news/news/2020/3/who-announces-covid-19-outbreak-a-pandemic (accessed April 11, 2020).
Durmus E, Guneysu F. The effect of Curfew enforcement on healthcare provision in COVID-19 Pandemic. J INFO Kesehat. 2020;18(2):182–8. doi:10.31965/invokes.Vol18.Iss2.483.
Yamin M. Counting the cost of COVID-19. Int J Inf Technol. 2020;12:311–7. doi:10.1007/s41870-020-00466-0.
Coibion O, Gorodnichenko Y, Weber M. The cost of the Covid-19 crisis: lockdowns, macroeconomic expectations, and consumer spending. Cambridge, MA: National Bureau of Economic Research; 2020. doi:10.3386/w27141.
Bai G, Zare H. Hospital cost structure and the implications on cost management during COVID-19. J Gen Intern Med. 2020;35(9):2807–9. doi:10.1007/s11606-020-05996-8.
Durmus E, Guneysu F. Effect of COVID-19 on the admissions to the adult emergency department. J Contemp Clin Pract. 2020;6(2):58–63. doi:10.18683/jccp.2020.1057.
Corona virus disease (COVID-19) 2020. https://www.who.int/news-room/q-a-detail/coronavirus-disease-covid-19 (accessed May 2, 2021).
George D, Mallery P. IBM SPSS statistics 25 step by step: a simple guide and reference. Fifteenth edition. New York; London: Routledge, Taylor & Francis Group; 2019.
Barasa E, Kairu A, Ng'ang'a W, Maritim M, Were V, Akech S, et al. Examining unit costs for COVID-19 case management in Kenya. BMJ Glob Health. 2021;6(4):e004159. doi:10.1136/bmjgh-2020-004159.
Rodriguez-Gonzalez CG, Chamorro-de-Vega E, Valerio M, Amor-Garcia MA, Tejerina F, Sancho-Gonzalez M, et al. COVID-19 in hospitalized patients in Spain: a cohort study in Madrid. Int J Antimicrob Agents. 2021;57(2):106249. doi:10.1016/j.ijantimicag.2020.106249.
Eki̇ngen E, Yildiz A. COVID-19 Treatment costs in Turkey: determinants and burden of the social security institution. İktisadi İdari Ve Siyasal Araştırmalar Derg. 2021;6(15):262–70. doi:10.25204/iktisad.844714.
Varisli B, Dogan FS, Yigitbas MR. Examination of geriatric patients who presented to the emergency department in terms of clinical, demographic and cost. Anatol J Emerg Med. 2018;1(2):18–24.
Dong M, Yang Z, Chen Y, Sun J, Ma W, Cheng S, et al. Hospitalization costs of COVID-19 cases and their associated factors in Guangdong, China: a cross-sectional study. Front Med (Lausanne). 2021;8:655231. doi: 10.3389/fmed.2021.655231.
Li XZ, Jin F, Zhang JG, Deng YF, Shu W, Qin JM, et al. Treatment of coronavirus disease 2019 in Shandong, China: a cost and affordability analysis. Infect Dis Poverty. 2020;9(1):78. doi:10.1186/s40249-020-00689-0.
Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395 (10229):1054–62. doi:10.1016/S0140-6736(20)30566-3.
Onder G, Rezza G, Brusaferro S. Case-fatality rate and characteristics of patients dying in relation to COVID-19 in Italy. JAMA. 2020;323(18):1775-6. doi: 10.1001/jama.2020.4683. Erratum in: JAMA. 2020;323(16):1619.
Dai M, Bao M, Chen X, Zhang Q, Jian Y. Middle-aged and elderly patients with COVID-19 pneumonia arising from asymptomatic carriers: A report of six cases. Med Comm. 2020;1(3):420–2. doi:10.1002/mco2.35.
Zou Y, Guo H, Zhang Y, Zhang Z, Liu Y, Wang J, et al. Analysis of coagulation parameters in patients with COVID-19 in Shanghai, China. Biosci Trends. 2020;14(4):285–9. doi:10.5582/bst.2020.03086.
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