TY - JOUR ID - 4037 TI - Inpatient Care Costs of COVID-19 in South Africa’s Public Healthcare System JO - International Journal of Health Policy and Management JA - IJHPM LA - en SN - AU - Edoka, Ijeoma AU - Fraser, Heather AU - Jamieson, Lise AU - Meyer-Rath, Gesine AU - Mdewa, Winfrida AD - SAMRC Centre for Health Economics and Decision Science-PRICELESS SA, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa AD - Health Economics and Epidemiology Research Office, Department of Internal Medicine, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa Y1 - 2022 PY - 2022 VL - 11 IS - 8 SP - 1354 EP - 1361 KW - Inpatient Cost KW - COVID-19 KW - South Africa KW - Healthcare Budget KW - Economic Cost KW - Financial Cost DO - 10.34172/ijhpm.2021.24 N2 - Background  Coronavirus disease 2019 (COVID-19) has had a devastating impact globally, with severe health and economic consequences. To prepare health systems to deal with the pandemic, epidemiological and cost projection models are required to inform budgets and efficient allocation of resources. This study estimates daily inpatient care costs of COVID-19 in South Africa, an important input into cost projection and economic evaluation models. Methods  We adopted a micro-costing approach, which involved the identification, measurement and valuation of resources used in the clinical management of COVID-19. We considered only direct medical costs for an episode of hospitalisation from the South African public health system perspective. Resource quantities and unit costs were obtained from various sources. Inpatient costs per patient day was estimated for consumables, capital equipment and human resources for three levels of inpatient care – general wards, high care wards and intensive care units (ICUs). Results  Average daily costs per patient increased with the level of care. The highest average daily cost was estimated for ICU admissions – 271 USD to 306 USD (financial costs) and ~800 USD to 830 USD (economic costs, excluding facility fee) depending on the need for invasive vs. non-invasive ventilation (NIV). Conversely, the lowest cost was estimated for general ward-based care – 62 USD to 79 USD (financial costs) and 119 USD to 278 USD (economic costs, excluding facility fees) depending on the need for supplemental oxygen. In high care wards, total cost was estimated at 156 USD, financial costs and 277 USD, economic costs (excluding facility fees). Probabilistic sensitivity analyses suggest our costs estimates are robust to uncertainty in cost inputs. Conclusion  Our estimates of inpatient costs are useful for informing budgeting and planning processes and costeffectiveness analysis in the South African context. However, these estimates can be adapted to inform policy decisions in other context. UR - https://www.ijhpm.com/article_4037.html L1 - https://www.ijhpm.com/article_4037_2c3fe93994e349dc29555c30ed16813f.pdf ER -