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德国儿童患者的COVID-19相关医疗保健资源利用和成本:基于人口的研究

Kiran K Rai¹, Hannah Gowman¹, Monica Seif¹

¹Adelphi Real World, Bollington, UK.

Advances in therapy

|August 11, 2025

概括

德国儿童中COVID-19的经济负担是显著的,住院导致大部分成本. 高风险儿童和需要重症监护的儿童承担了最高的医疗保健资源利用和支出.

科学领域:

儿科健康经济学儿科健康经济学
传染病流行病学传染病流行病学
公共卫生政策公共卫生政策

背景情况:

关于COVID-19在德国儿科患者群体的经济影响的数据有限.
了解医疗保健资源利用率 (HCRU) 和直接医疗成本对于有效的医疗系统规划至关重要.

研究的目的:

量化德国儿科患者的COVID-19相关的HCRU和直接医疗成本.
为儿童COVID-19病例的经济负担提供证据.

主要方法:

一项基于人口的回顾性队列研究,利用德国法定医疗保险 (SHI) 索赔数据库.
对诊断为COVID-19的门诊 (2020年4月至2021年12月) 和住院 (2020年4月至2022年10月) 儿科队列 (1至17岁) 的分析.

主要成果:

门诊队列 (n=104,656) 显示出大量的全科医生和专家访问,平均每季度诊断费用为192欧元.
入院队列 (n=3,129) 的住院时间 (LoS) 中位数为6.0天,每次住院费用为12,503欧元.
重症监护入院 (13%) 的费用更高 (21,193欧元),在高危儿童和特定年龄组 (5-11岁) 中观察到较长的LoS.

结论:

COVID-19对德国儿科人口造成了巨大的经济负担,主要是通过住院治疗.
临界护理入院和高风险状态显著增加HCRU和相关成本.
调查结果强调了针对儿童COVID-19管理的有针对性的干预措施和资源配置的需要.

关键词:

在 COVID-19 疫情中,费用费用费用费用费用在医院住院治疗.儿科儿科儿科主要的护理是初级护理.二级护理是指第二级的护理.

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