Ricovero abbreviato nei reparti di malattie infettive: Un'opportunità O un aumento di spesa per il sistema sanitario Italiano?

Translated title of the contribution: Early discharge of infectious disease patients: An opportunity or extra cost for the Italian healthcare system?

Fabrizio Palmieri, Francesco Alberici, Alberto Deales, Gianluca Furneri, Francesco Menichetti, Nicoletta Orchi, Carolina Quesada-Rodriguez, Stefano Pilli, Franco Rapisarda, Domenica Tassielli, Michele Tringali, Silvano Esposito, Giuseppe Ippolito

Research output: Contribution to journalArticlepeer-review

Abstract

In order to assess the economic benefits of an early discharge (ED) programme for patients with complicated skin and soft tissue infections (cSSTIs) in terms of hospital and regional authority costs, an economic analysis was conducted comparing two possible alternatives: standard hospital management vs. an ED strategy followed by a period of outpatient management. Utilization of resources and costs were derived from the literature and expert panel evaluation. Patients were classified into four groups: low-intensity non-walking (LINW), low-intensity walking (LIW), high-intensity nonwalking (HINW) and high-intensity walking (HIW). The overall costs (inpatient/outpatient) of hospitalization with ED for cSSTIs range from € 2,079 for LIW to € 2,193 for HINW, with the most expensive regimen (HINW) being 50% lower than the costs for 12.6 days of hospitalization alone (€ 4,619). The weighted average Diagnosis Related Group (DRG) reimbursement for cSSTIs (€ 2,042) does not cover the costs of such hospitalization. In conclusion, when a patient's conditions allow for early discharge there is an economic advantage for the hospital with an outpatient management plan, especially for patients requiring low-intensity care. However, this could be disadvantageous in terms of regional costs if outpatient management has to be paid in addition to payment by the DRG.

Translated title of the contributionEarly discharge of infectious disease patients: An opportunity or extra cost for the Italian healthcare system?
Original languageItalian
Pages (from-to)270-278
Number of pages9
JournalInfezioni in Medicina
Volume21
Issue number4
Publication statusPublished - Dec 2013

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases
  • Medicine(all)

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