Hospital-based COVID-19 registry: Design and implementation. Colombian experience

Rodríguez, Sarita; Guzmán, Tania María; Tafurt, Eric; Beltrán, Estefanía; Castro, Andrés; Rosso, Fernando; Prada, Sergio I.; Zarama, Virginia

doi:10.1016/j.mex.2023.102056

Cited by 2 publications

(2 citation statements)

References 8 publications

(8 reference statements)

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“…This registry was an institutional initiative that was developed at the beginning of the pandemic in which the clinical, paraclinical and microbiological data of all patients with confirmed cases of COVID-19 treated at FVLsince the beginning of the pandemic. 10 …”

Section: Methodsmentioning

confidence: 99%

Navigating the waves in Colombia: a cohort study of inpatient care during four COVID-19 waves

Rebellón-Sánchez,

Guzmán,

Rodriguez

et al. 2024

The Brazilian Journal of Infectious Diseases

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Section: Methodsmentioning

confidence: 99%

Navigating the waves in Colombia: a cohort study of inpatient care during four COVID-19 waves

Rebellón-Sánchez,

Guzmán,

Rodriguez

et al. 2024

The Brazilian Journal of Infectious Diseases

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“…In this study, we evaluate whether the reimbursement rate for COVID-19 inpatients stays was well defined. We accomplish this by conducting a cost of illness study of patients with moderate, severe and critical illness between June 2020 and June 2021 based on the institutional registry of patients with COVID-19 from a high complexity institution in Colombia, 7 and comparing median cost to actual with the actual reimbursement rates.…”

Section: Introductionmentioning

confidence: 99%

Unveiling the truth: is COVID-19 reimbursement in Colombia a flawed design? A cost-of-illness analysis for moderate, severe and critical infections

Fernandez-Trujillo,

Sangiovanni,

Castrillon

et al. 2024

BMJ Open Resp Res

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PurposeThis study examines the financial impact of the COVID-19 pandemic on the Colombian Health System, focusing on the adequacy of reimbursement rates for inpatient stays. The study, based on a cost of illness analysis, aims to evaluate the effectiveness of the reimbursement scheme and identify potential economic losses within the health system.Patients and methodsThe study protocol outlines the inclusion criteria for patients >18 years with confirmed COVID-19 infection and moderate to critical disease. Patients hospitalised between June 2020 and June 2021 for at least 24 hours were included. Exclusion criteria involved pregnant patients and those initially hospitalised for non-COVID-19.ResultsThe study included 781 patients contributing to 790 hospitalisations. Demographic and clinical characteristics were analysed, with critical illness being the most prevalent category (61%). The overall mortality rate was 20.3%, primarily observed in critically ill patients. In the general ward for moderate cases, the reimbursement rate saw a substantial increase from US$3237 in 2020 to US$6760 in 2021, surpassing median resource utilisation. However, for severe cases in the intermediate care unit, reimbursement rates decreased, indicating potential insufficiency in covering costs. In the intensive care unit for critical cases, despite improved reimbursement rates, median resource utilisation still exceeds the 2021 rate, suggesting financial insufficiency in reimbursement rates.ConclusionOur study underscores the inadequacies of the previous reimbursement system in addressing the varying resource utilisation and costs associated with COVID-19 inpatient care. Our analysis reveals substantial discrepancies between estimated costs and actual resource utilisation, particularly for severe and critical cases. We advocate for government flexibility in revising reimbursement baskets, supported by pilot studies to assess effectiveness. The use of real-world evidence forms a crucial basis for informed adjustments to reimbursement levels in preparation for future pandemics. This proactive approach ensures alignment between reimbursement policies and the actual costs associated.

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Hospital-based COVID-19 registry: Design and implementation. Colombian experience

Cited by 2 publications

References 8 publications

Navigating the waves in Colombia: a cohort study of inpatient care during four COVID-19 waves

Navigating the waves in Colombia: a cohort study of inpatient care during four COVID-19 waves

Unveiling the truth: is COVID-19 reimbursement in Colombia a flawed design? A cost-of-illness analysis for moderate, severe and critical infections

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