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Costs associated with office visits for diarrhea in infants and toddlers
P Avendaño1, D O Matson, J Long
1School of Public Health, University of Texas Health Science Center, Houston.
Insights
Pediatric diarrhea incurs significant costs, averaging $289 per episode for families. This includes medical expenses and lost work, highlighting diarrhea as a major U.S. healthcare burden.
Area of Science:
- Pediatric Health
- Public Health Economics
- Infectious Disease Epidemiology
Background:
- Diarrhea is a common illness in young children.
- Rotavirus is a significant cause of pediatric diarrhea.
- The economic impact of pediatric diarrhea on healthcare systems is substantial.
Purpose of the Study:
- To determine the direct and indirect costs associated with pediatric diarrhea in an ambulatory setting.
- To estimate the national economic burden of pediatric diarrhea.
- To identify the contribution of rotavirus to the overall cost.
Main Methods:
- Prospective enrollment of children under 36 months with acute diarrhea during rotavirus season.
- Cost data collection via questionnaires (medical and non-medical factors) and review of office computer records.
- Analysis of costs per episode and annual costs at three centers, with extrapolation to national figures.
Main Results:
- The average cost per episode of diarrhea was $289, with missed work and office visits being major components.
- Diarrhea accounted for 4% of all clinic visits and 10% of visits for children under 36 months.
- Annual costs at three centers totaled $346,000, extrapolating to $0.6-$1.0 billion nationally, with 21% attributed to rotavirus.
Conclusions:
- Outpatient pediatric diarrhea represents a major healthcare cost in the United States.
- Both direct medical costs and indirect non-medical costs, such as parental work loss, contribute significantly.
- Rotavirus diarrhea is a substantial driver of these economic burdens.
Abstract:
We determined costs associated with diarrhea in a < 36-month-old ambulatory population. Children with acute diarrhea were enrolled during the rotavirus season at three centers. Questionnaires to assess costs of both medical and nonmedical factors were administered at the enrollment visit and 1 week later. Office computer records were reviewed to identify all visits by children with diarrhea during 1 year. Fifty-one patients were enrolled. The average cost per episode of diarrhea was $289, which included: $144, missed work; $57, office visits; $23, laboratory tests; $21, medications; $18, changed diet/oral rehydration solutions; $15, travel; $7, extra diapers; and $6, extra child care. During 1 year diarrhea accounted for 4% of all visits and 10% of visits among those < 36 months old. The annual cost at the three centers was $346,000, which extrapolates to $0.6 to $1.0 billion for the United States. Twenty-one percent of this cost was attributable to rotavirus diarrhea. We conclude that outpatient care for pediatric diarrhea is a major health care cost in the United States.
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