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- W2889127922 abstract "Background: Outbreaks of infectious diseases may result in bed pressures, which are often mitigated by delaying new admissions due to beds being unavailable. This painfully illustrates to policy makers and the public what is meant by the economic notion of “opportunity costs”: The value of the next-best alternative forgone, or in this situation: The value of the beds for the displaced patients. These opportunity costs need to be captured adequately in economic analyses. Methods: Suitable approaches for estimating the opportunity costs of healthcare beds from the perspective of health-maximising decision makers were searched for in a literature review. Lack of adequate methods drove the development of a novel approach. Differences among approaches were explored using, as a case study, hospitalisations for norovirus-associated gastroenteritis. Its hospital burden was quantified nationally for England using statistical modelling. Afterwards, a stochastic mathematical model of hospital wards was built to explore the additional bed pressures on occupancy levels due to transmission-dynamic norovirus outbreaks. Results: Health-maximising decision makers should approximate the opportunity costs of healthcare beds by considering the net benefit of the second-best admissions forgone. This novel approach estimated a loss of 6,300 quality-adjusted life years (QALYs) annually in England and economic costs of £190−£298 million due to norovirus, roughly 2−3 times higher than the financial expenditures incurred of £108 million. During norovirus outbreaks, additional bed pressures arise 83.0% of the time, preventing a mean of 6.8 (range 0−44) new admissions that could have been admitted had there been no outbreak. Conclusions: Owing to market imperfections, the true value of healthcare beds differs from the value calculated using pragmatic conventions. In this thesis, these opportunity costs were estimated for the first time by explicitly including the wider health impact for other patients awaiting admission. The higher values obtained may impact the outcome of economic analyses." @default.
- W2889127922 created "2018-09-07" @default.
- W2889127922 creator A5058299591 @default.
- W2889127922 date "2018-05-17" @default.
- W2889127922 modified "2023-09-23" @default.
- W2889127922 title "The true cost of epidemic and outbreak diseases in hospitals" @default.
- W2889127922 cites W110257840 @default.
- W2889127922 cites W121237756 @default.
- W2889127922 cites W1483011135 @default.
- W2889127922 cites W1491493810 @default.
- W2889127922 cites W1508345283 @default.
- W2889127922 cites W1519658082 @default.
- W2889127922 cites W1522118325 @default.
- W2889127922 cites W1527173012 @default.
- W2889127922 cites W1537972189 @default.
- W2889127922 cites W1538600082 @default.
- W2889127922 cites W1550201213 @default.
- W2889127922 cites W1563690120 @default.
- W2889127922 cites W1571634404 @default.
- W2889127922 cites W1572049422 @default.
- W2889127922 cites W166560170 @default.
- W2889127922 cites W168918013 @default.
- W2889127922 cites W1781374319 @default.
- W2889127922 cites W1872455760 @default.
- W2889127922 cites W1890858795 @default.
- W2889127922 cites W1891560809 @default.
- W2889127922 cites W189616585 @default.
- W2889127922 cites W1967696052 @default.
- W2889127922 cites W1971429986 @default.
- W2889127922 cites W1971824332 @default.
- W2889127922 cites W1977372356 @default.
- W2889127922 cites W1989128498 @default.
- W2889127922 cites W1992253867 @default.
- W2889127922 cites W1997032258 @default.
- W2889127922 cites W1997302988 @default.
- W2889127922 cites W2000547627 @default.
- W2889127922 cites W2000836282 @default.
- W2889127922 cites W2006419283 @default.
- W2889127922 cites W2006564318 @default.
- W2889127922 cites W2011259658 @default.
- W2889127922 cites W2011624065 @default.
- W2889127922 cites W2014173512 @default.
- W2889127922 cites W2015560127 @default.
- W2889127922 cites W2016572814 @default.
- W2889127922 cites W2019396662 @default.
- W2889127922 cites W2020025264 @default.
- W2889127922 cites W2021069643 @default.
- W2889127922 cites W2024001130 @default.
- W2889127922 cites W2024524968 @default.
- W2889127922 cites W2029241851 @default.
- W2889127922 cites W2037529664 @default.
- W2889127922 cites W2038476932 @default.
- W2889127922 cites W2043518963 @default.
- W2889127922 cites W2048562947 @default.
- W2889127922 cites W2050048511 @default.
- W2889127922 cites W2051058887 @default.
- W2889127922 cites W2052994688 @default.
- W2889127922 cites W2053285732 @default.
- W2889127922 cites W2055621429 @default.
- W2889127922 cites W2056995935 @default.
- W2889127922 cites W2060268568 @default.
- W2889127922 cites W2062026931 @default.
- W2889127922 cites W2062476572 @default.
- W2889127922 cites W2062638219 @default.
- W2889127922 cites W2070832950 @default.
- W2889127922 cites W20712507 @default.
- W2889127922 cites W2072429095 @default.
- W2889127922 cites W2073625279 @default.
- W2889127922 cites W2077268598 @default.
- W2889127922 cites W2080184288 @default.
- W2889127922 cites W2080875923 @default.
- W2889127922 cites W2081563851 @default.
- W2889127922 cites W2081889136 @default.
- W2889127922 cites W2083475779 @default.
- W2889127922 cites W2087137161 @default.
- W2889127922 cites W2088464797 @default.
- W2889127922 cites W2089124931 @default.
- W2889127922 cites W2090012786 @default.
- W2889127922 cites W2093039732 @default.
- W2889127922 cites W2093867194 @default.
- W2889127922 cites W2097787701 @default.
- W2889127922 cites W2099087315 @default.
- W2889127922 cites W2099829603 @default.
- W2889127922 cites W2100246724 @default.
- W2889127922 cites W2100358124 @default.
- W2889127922 cites W2103789479 @default.
- W2889127922 cites W2106628503 @default.
- W2889127922 cites W2107162279 @default.
- W2889127922 cites W2110775348 @default.
- W2889127922 cites W2115655922 @default.
- W2889127922 cites W2116324819 @default.
- W2889127922 cites W2116588651 @default.
- W2889127922 cites W2117865383 @default.
- W2889127922 cites W2117963622 @default.
- W2889127922 cites W2118004842 @default.
- W2889127922 cites W2121674029 @default.
- W2889127922 cites W2121858985 @default.
- W2889127922 cites W2123938092 @default.
- W2889127922 cites W2125883112 @default.
- W2889127922 cites W2127576226 @default.