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10.1097/HCR.0000000000000643

http://scihub22266oqcxt.onion/10.1097/HCR.0000000000000643
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34461621!8436146!34461621
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suck abstract from ncbi

pmid34461621      J+Cardiopulm+Rehabil+Prev 2021 ; 41 (5): 308-314
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  • Financial Analysis of Cardiac Rehabilitation and the Impact of COVID-19 #MMPMID34461621
  • Melbostad HS; Savage PD; Mahoney K; Gaalema DE; Ades PA; Shepard DS
  • J Cardiopulm Rehabil Prev 2021[Sep]; 41 (5): 308-314 PMID34461621show ga
  • PURPOSE: Provision of phase 2 cardiac rehabilitation (CR) has been directly impacted by coronavirus disease-19 (COVID-19). Economic analyses to date have not identified the financial implications of pandemic-related changes to CR. The aim of this study was to compare the costs and reimbursements of CR between two periods: (1) pre-COVID-19 and (2) during the COVID-19 pandemic. METHODS: Health care costs of providing CR were calculated using a microcosting approach. Unit costs of CR were based on staff time, consumables, and overhead costs. Reimbursement rates were derived from commercial and public health insurance. The mean cost and reimbursement/participant were calculated. Staff and participant COVID-19 infections were also examined. RESULTS: The mean number of CR participants enrolled/mo declined during the pandemic (-10%; 33.8 +/- 2.0 vs 30.5 +/- 3.2, P = .39), the mean cost/participant increased marginally (+13%; $2897 +/- $131 vs $3265 +/- $149, P = .09), and the mean reimbursement/participant decreased slightly (-4%; $2959 +/- $224 vs $2844 +/- $181, P = .70). However, these differences did not reach statistical significance. The pre-COVID mean operating surplus/participant ($62 +/- $140) eroded into a deficit of -$421 +/- $170/participant during the pandemic. No known COVID-19 infections occurred among the 183 participants and 14 on-site staff members during the pandemic period. CONCLUSIONS: COVID-19-related safety protocols required CR programs to modify service delivery. Results demonstrate that it was possible to safely maintain this critically important service; however, CR program costs exceeded revenues. The challenge going forward is to optimize CR service delivery to increase participation and achieve financial solvency.
  • |*COVID-19[MESH]
  • |*Cardiac Rehabilitation/economics[MESH]
  • |*Health Care Costs[MESH]
  • |Aged[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Patient Safety[MESH]


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