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- Title
The burden of hospitalisations for COVID-19 in France: a study of all cases in the national insurance claims database in 2020.
- Authors
Leboucher, Claire; Blein, Cécile; Machuron, Valérie; Benyounes, Kelly; Le lay, Katell; Millier, Aurélie; Supiot, Romain; Raffi, François
- Abstract
Background: The economic consequences of the recent COVID-19 pandemic were substantial. However, direct medical costs in France have not been determined. Objective: To describe patient characteristics, intensity of care, mortality, and direct medical costs in patients hospitalised for COVID-19 infections in France. Study design: A retrospective study of the French national hospital claims database for 2020. Setting: Hospital care. Patients or other participants: All patients hospitalised for COVID-19 in 2020 were included and classified by hospitalisation duration into acute phase and prolonged COVID-19. Intervention: Stratification by intensity of care (Level 1: no or low-flow oxygen support; Level 2: non-invasive ventilation; Level 3: mechanical ventilation). Main outcome measure: Cost of hospital care in 2020 Euros from a payer perspective. Results: 199,455 patients were hospitalised for COVID-19 in France in 2020. 17,824 patients (8.9%) received mechanical ventilation and 32,602 patients (16.3%) died. Mean per patient cost was €5,510 ± 7,142. This cost was highest in patients receiving Level 3 care, patients aged >80 years and in those with prolonged COVID. Conclusion: The economic burden of hospitalisations for COVID-19 infections in France during 2020 was substantial. The study provides robust baseline data to benchmark advances in the standard of care and to nurture epidemiological models.
- Subjects
FRANCE; INSURANCE claims; COVID-19; DATABASES; COVID-19 pandemic; PUBLIC hospitals
- Publication
Journal of Market Access & Health Policy, 2023, Vol 11, Issue 1, p1
- ISSN
2001-6689
- Publication type
Article
- DOI
10.1080/20016689.2022.2160328