Economic evaluation of health services costs during pandemic influenza A (H1N1) pdm09 infection in pregnant and non-pregnant women in Spain (2009)

Roderic Mòbil

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Economic evaluation of health services costs during pandemic influenza A (H1N1) pdm09 infection in pregnant and non-pregnant women in Spain (2009)

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dc.contributor.author Morales Suárez-Varela, María M.
dc.contributor.author Llopis González, Agustín
dc.contributor.author González Candelas, Fernando
dc.contributor.author Astray, Jenaro
dc.contributor.author Alonso, Jordi
dc.contributor.author Garin, Olatz
dc.contributor.author Castro, Ady
dc.contributor.author Galán, Juan Carlos
dc.contributor.author Soldevila, Nuria
dc.contributor.author Castilla, Jesús
dc.contributor.author Godoy, Pere
dc.contributor.author Delgado-Rodríguez, Miguel
dc.contributor.author Martín, Vicente
dc.contributor.author Mayoral, José María
dc.contributor.author Pumarola, Tomás
dc.contributor.author Quintana, José María
dc.contributor.author Tamames, Sonia
dc.contributor.author Rubio López, Nuria
dc.contributor.author Domínguez, Ángela
dc.date.accessioned 2017-02-17T15:39:03Z
dc.date.available 2017-02-17T15:39:03Z
dc.date.issued 2016
dc.identifier.uri http://hdl.handle.net/10550/57210
dc.description.abstract Background: The healthcare and socio-economic burden resulting from influenza A (H1N1) pdm09 in Spain was considerable. Our aim was to estimate and compare the management (resource utilization) and economic healthcare impact in an at-risk group of unvaccinated pregnant women with an unvaccinated group of non-pregnant woman of childbearing age (15-44 yr old). Methods: We addressed this question with a longitudinal, observational, multicentre study. Inputs were the require-ments in managing both groups of women. Outcome measures were healthcare costs. Direct healthcare (including medical utilisation, prescriptions of antivirals, medication, diagnostic tests, and hospitalisation) costs and indirect (productivity loss) costs were considered. Unit of cost was attributed to the frequency of health service resources utili-sation. The mean cost per patient was calculated in this group of women. Results: We found that the influenza clinical pattern was worse in non-pregnant women as they had a high medical risk of 20.4% versus 6.1% of pregnant women. Non-pregnant required more antipyretics and antibiotics, and needed more health service resource utilisation (338 medical visits in non-pregnant women vs. 42 in pregnant women). The total cost of non-pregnant women was higher ( 4,689.4/non-pregnant and 2,945.07/pregnant). Conclusions: Cost per (H1N1) pdm09 was lower for pregnant women, probably due to more preventive measures adopted for their protection in Spain. The highest costs were incurred by hospitalisations/day and work absenteeism for non-pregnant than for pregnant women. These data will allow better future pandemic influenza planning.
dc.language.iso eng
dc.relation.ispartof Iranian Journal Of Public Health, 2016, vol. 45, num. 4, p. 423-434
dc.rights.uri info:eu-repo/semantics/openAccess
dc.source Morales Suárez-Varela, María M.; Llopis González, Agustín; González Candelas, Fernando; Astray, Jenaro; Alonso, Jordi; Garin, Olatz; Castro, Ady; Galán, Juan Carlos; Soldevila, Nuria; Castilla, Jesús; Godoy, Pere; Delgado-Rodríguez, Miguel; Martín, Vicente; Mayoral, José María; Pumarola, Tomás; Quintana, José María; Tamames, Sonia; Rubio López, Nuria; Domínguez, Ángela (2016) Economic evaluation of health services costs during pandemic influenza A (H1N1) pdm09 infection in pregnant and non-pregnant women in Spain (2009) Iranian Journal Of Public Health 45 4 423 434
dc.subject Virus
dc.subject Serveis sanitaris
dc.subject Embarassades
dc.title Economic evaluation of health services costs during pandemic influenza A (H1N1) pdm09 infection in pregnant and non-pregnant women in Spain (2009)
dc.type info:eu-repo/semantics/article
dc.date.updated 2017-02-17T15:39:04Z
dc.identifier.idgrec 116211


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Roderic Mòbil