Coste social y asistencial de la gastroenteritis pediátrica por rotavirus en España
- N. Lara
- J. M. Paricio Talayero
- María A. Martín Sobrino
- Miguel Tomás Vila
- J. Collar del Castillo
- Beatriz Beseler Soto
- M. Sánchez Palomares
- David Gómez Sánchez
ISSN: 0001-6640
Ano de publicación: 2009
Volume: 67
Número: 6
Páxinas: 267-273
Tipo: Artigo
Outras publicacións en: Acta pediátrica española
Resumo
Introduction: Pediatric rotavirus gastroenteritis (RVGE) affects nearly all infants by five years of age, and accounts for a high number of hospitalizations. Patients and methods: A study was conducted in order to assess the costs of the disease in Spain, based on epidemiological data and the use of resources needed for the treatment of 252 children with RVGE attended at primary care, emergency room or hospital settings. A questionnaire was used as well as information on unitary costs. The costs of the disease where calculated per person and for a cohort of 1,000 patients in each level, taking into account direct medical costs, non medical direct costs and indirect costs from the National Health System (NHS) and societal perspectives. Results: From the societal perspective, RVGE has a cost per case of 1,551.7€, 408.9 € and 165.9 € when attended at the hospital, emergency room or primary care settings, respectively. Direct medical costs represent the largest part of the total costs at the Hospital (81.4%) and at the emergency room (53.8%), while at primary care, indirect costs due to loss of productivity are 75.3% of the expenditure. Conclusions: RVGE results in considerable resource utilization in all healthcare settings and substantial costs from NHS and society perspectives. Effective prevention of RVGE, through universal immunisation of infants, could result in substantial savings for both the NHS and the society.