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10.1097/SLA.0000000000004766

http://scihub22266oqcxt.onion/10.1097/SLA.0000000000004766
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33491974!ä!33491974

suck abstract from ncbi


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pmid33491974      Ann+Surg 2021 ; 273 (5): 844-849
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  • The Cost of Quarantine: Projecting the Financial Impact of Canceled Elective Surgery on the Nation s Hospitals #MMPMID33491974
  • Bose SK; Dasani S; Roberts SE; Wirtalla C; DeMatteo RP; Doherty GM; Kelz RR
  • Ann Surg 2021[May]; 273 (5): 844-849 PMID33491974show ga
  • OBJECTIVE: We sought to quantify the financial impact of elective surgery cancellations in the US during COVID-19 and simulate hospitals' recovery times from a single period of surgery cessation. BACKGROUND: COVID-19 in the US resulted in cessation of elective surgery-a substantial driver of hospital revenue-and placed patients at risk and hospitals under financial stress. We sought to quantify the financial impact of elective surgery cancellations during the pandemic and simulate hospitals' recovery times. METHODS: Elective surgical cases were abstracted from the Nationwide Inpatient Sample (2016-2017). Time series were utilized to forecast March-May 2020 revenues and demand. Sensitivity analyses were conducted to calculate the time to clear backlog cases and match expected ongoing demand in the post-COVID period. Subset analyses were performed by hospital region and teaching status. RESULTS: National revenue loss due to major elective surgery cessation was estimated to be $22.3 billion (B). Recovery to market equilibrium was conserved across strata and influenced by pre- and post-COVID capacity utilization. Median recovery time was 12-22 months across all strata. Lower pre-COVID utilization was associated with fewer months to recovery. CONCLUSIONS: Strategies to mitigate the predicted revenue loss of $22.3B due to major elective surgery cessation will vary with hospital-specific supply-demand equilibrium. If patient demand is slow to return, hospitals should focus on marketing of services; if hospital capacity is constrained, efficient capacity expansion may be beneficial. Finally, rural and urban nonteaching hospitals may face increased financial risk which may exacerbate care disparities.
  • |*Financial Management, Hospital[MESH]
  • |*Hospital Costs[MESH]
  • |*Quarantine[MESH]
  • |COVID-19/*prevention & control[MESH]
  • |Elective Surgical Procedures/*economics[MESH]
  • |Female[MESH]
  • |Healthcare Disparities/economics[MESH]
  • |Hospital Bed Capacity[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics/*prevention & control[MESH]
  • |SARS-CoV-2[MESH]
  • |Time Factors[MESH]


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