Epidemiologia e Serviços de Saúde (Jul 2024)

Economic burden due to COVID-19 in a Colombian Caribbean state, 2020 and 2021

  • Fernando Salcedo-Mejía,
  • Lina Moyano-Tamara,
  • Josefina Zakzuk,
  • Ana Milena Lozano,
  • Héctor Serrano-Coll,
  • Bertha Gastelbondo,
  • Salim Mattar Velilla,
  • Nelson Rafael Alvis Zakzuk,
  • Nelson J. Alvis-Zakzuk,
  • Nelson Alvis Guzmán

DOI
https://doi.org/10.1590/s2237-96222024v33e2023830.en
Journal volume & issue
Vol. 33

Abstract

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Abstract Objective: To estimate the economic burden associated with COVID-19 in Córdoba, Colombia, 2020 and 2021. Methods: Economic burden study. Direct costs were analyzed from the third-party payer perspective using healthcare administrative databases and interviews from a cohort of confirmed COVID-19 cases from Córdoba. Costing aggregation was performed by the bottom-up method. Indirect costs were estimated using the productivity loss approach. Contrast tests and statistical models were estimated at 5% significance. Results: We studied 1,800 COVID-19 cases. The average economic cost of COVID-19 per episode was estimated at US$ 2,519 (95%CI 1,980;3,047). The direct medical cost component accounted for 92.9% of the total; out-of-pocket and indirect costs accounted for 2% and 5.1%, respectively. Conclusion: COVID-19 economic cost was mainly due to direct medical costs. This study provided evidence of the economic burden faced by households due to COVID-19, with the most vulnerable households bearing much of the burden on their income.

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