Economic evaluation of health services costs during pandemic influenza A (H1N1) pdm09 infection in pregnant and non-pregnant women in Spain (2009)
dc.contributor.author
dc.date.accessioned
2017-05-16T11:20:42Z
dc.date.available
2017-05-16T11:20:42Z
dc.date.issued
2016
dc.identifier.issn
2251-6085
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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 requirements
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 utilisation.
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.format.mimetype
application/pdf
dc.language.iso
eng
dc.publisher
Tehran University of Medical Sciences
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Reproducció digital del document publicat a: http://ijph.tums.ac.ir/index.php/ijph/article/view/6572/4746
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Iranian Journal Of Public Health, 2016, vol. 45, núm. 4, p. 423-434
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Articles publicats (D-CM)
dc.rights
Attribution-NonCommercial 3.0 Spain
dc.rights.uri
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.rights.accessRights
info:eu-repo/semantics/openAccess
dc.embargo.terms
Cap
dc.type.version
info:eu-repo/semantics/publishedVersion
dc.identifier.eissn
2251-6093