[Community-acquired pneumonia: a budget impact model].
Community-acquired pneumonia (CAP) is an infectious disease with high morbidity and mortality and a major social and economic impact. A budget impact model was developed to estimate the impact on hospital direct costs of different antibiotic therapies suggested by international and national (FADOI) guidelines on treatment of patients hospitalized with CAP. The model includes the costs of drugs, staffing, consumables and in-patient stays in two different scenarios: intravenous therapy only and switch therapy; it compares levofloxacin (monotherapy) versus other combination therapies as suggested by the guidelines and includes the cost of failure of first-line treatment. Budget impact analysis shows that the cost of CAP-hospitalized patients in Italy consists mainly in the cost of treatment failure while that of antibiotics is just a small component of total direct costs incurred by hospitals.
Ospedale San Giovanni Bosco, Torino, Italy.
Massimo
M
Giusti
Francesco
F
Banfi
Francesco
F
Perrone
Andrea
A
Pitrelli
Lara
L
Pippo
Luigi
L
Giuliani
D000368:Aged; D000900:Anti-Bacterial Agents / Q000191:economics / Q000627:therapeutic use; D002017:Budgets; D017714:Community-Acquired Infections / Q000191:economics; D003422:Critical Care / Q000191:economics; D016527:Drug Costs; D004359:Drug Therapy, Combination / Q000191:economics; D004865:Equipment and Supplies, Hospital / Q000191:economics; D005260:Female; D017048:Health Care Costs; D017721:Hospital Costs; D006760:Hospitalization / Q000191:economics; D006801:Humans; D015994:Incidence; D007558:Italy / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D010564:Personnel, Hospital / Q000191:economics; D011014:Pneumonia / Q000188:drug therapy / Q000191:economics* / Q000453:epidemiology; D011379:Prognosis; D012720:Severity of Illness Index
D000900:Anti-Bacterial Agents