{"id":1929,"date":"2022-09-20T00:00:00","date_gmt":"2022-09-20T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/initial-health-care-costs-for-covid-19-in-british-columbia-and-ontario-canada-an-interprovincial-population-based-cohort-study\/"},"modified":"2023-06-14T20:10:03","modified_gmt":"2023-06-15T00:10:03","slug":"initial-health-care-costs-for-covid-19-in-british-columbia-and-ontario-canada-an-interprovincial-population-based-cohort-study","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/initial-health-care-costs-for-covid-19-in-british-columbia-and-ontario-canada-an-interprovincial-population-based-cohort-study\/","title":{"rendered":"Initial healthcare costs for COVID-19 in British Columbia and Ontario, Canada: an interprovincial population-based cohort study"},"content":{"rendered":"

Background<\/strong> — COVID-19 imposed substantial health and economic burdens. Comprehensive population-based estimates of healthcare costs for COVID-19 are essential for planning and policy evaluation. We estimated publicly funded healthcare costs in 2 Canadian provinces during the pandemic’s first wave.<\/p>\n

Methods<\/strong> — In this historical cohort study, we linked patients with their first positive SARS-CoV-2 test result by June 30, 2020, in 2 Canadian provinces (British Columbia and Ontario) to healthcare administrative databases and matched to negative or untested controls. We stratified patients by highest level of initial care: community, long-term care, hospital (without admission to the intensive care unit [ICU]) and ICU. Mean publicly funded healthcare costs for patients and controls, mean net (attributable to COVID-19) costs and total costs were estimated from 30 days before to 120 days after the index date, or to July 31, 2020, in 30-day periods for patients still being followed by the start of each period.<\/p>\n

Results<\/strong> — We identified 2465 matched people with a positive test result for SARS-CoV-2 in BC and 28 893 in Ontario. Mean age was 53.4 (standard deviation [SD] 21.8) years (BC) and 53.7 (SD 22.7) years (Ontario); 55.7% (BC) and 56.1% (Ontario) were female. Net costs in the first 30 days after the index date were $22 010 (95% confidence interval [CI] 19 512 to 24 509) and $15 750 (95% CI 15 354 to 16 147) for patients admitted to hospital, and $65 828 (95% CI 58 535 to 73 122) and $56 088 (95% CI 53 721 to 58 455) for ICU patients in BC and Ontario, respectively. In the community and long-term care settings, net costs were near 0. Total costs for all people, from 30 days before to 30 days after the index date, were $22 128 330 (BC) and $175 778 210 (Ontario).<\/p>\n

Interpretation<\/strong> — During the first wave, we found that mean costs attributable to COVID-19 were highest for patients with ICU admission and higher in BC than Ontario. Reducing the number of people who acquire COVID-19 and severity of illness are required to mitigate the economic impact of COVID-19.<\/p>\n","protected":false},"excerpt":{"rendered":"

Background — COVID-19 imposed substantial health and economic burdens. Comprehensive population-based estimates of healthcare costs for COVID-19 are essential for planning and policy evaluation. We estimated publicly funded healthcare costs in 2 Canadian provinces during the pandemic’s first wave. Methods — In this historical cohort study, we linked patients with their first positive SARS-CoV-2 test […]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[],"class_list":["post-1929","journal_article","type-journal_article","status-publish","hentry"],"acf":{"citation":"Tsui TCO, Zeitouny S, Bremner KE, Cheung DC, Mulder C, Croxford R, Del Giudice L, Lapointe-Shaw L, Mendlowitz A, Wong WWL, Perlis N, Sander B, Teckle P, Tomlinson G, Walker JD, Malikov K, McGrail KM, Peacock S, Kulkarni GS, Pataky RE, Krahn MD. CMAJ Open<\/em>. 10(3):E818-30. Epub 2022 Sep 20.","source_url":"https:\/\/www.cmajopen.ca\/content\/10\/3\/E818","ices_scientist":[1287,1120,1362,1124,1147,21592],"site":[6733],"research_program":[6746],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"03501F1C-E91E-485D-B3DE-EBABD5CB1803","sitecore_item_name":"Initial-health-care-costs-for-COVID-19-in-British-Columbia-and-Ontario-Canada","sitecore_field_values":"{\n \"Title\": \"Initial healthcare costs for COVID-19 in British Columbia and Ontario, Canada: an interprovincial population-based cohort study\",\n \"Short title\": \"Initial healthcare costs for COVID-19\",\n \"Summary\": \"The study found that during the first wave that mean costs attributable to COVID-19 were highest for patients with ICU admission and higher in BC than Ontario.\",\n \"Citation\": \"

Tsui TCO, Zeitouny S, Bremner KE, Cheung DC, Mulder C, Croxford R, Del Giudice L, Lapointe-Shaw L, Mendlowitz A, Wong WWL, Perlis N, Sander B, Teckle P, Tomlinson G, Walker JD, Malikov K, McGrail KM, Peacock S, Kulkarni GS, Pataky RE, Krahn MD. CMAJ Open<\/em>. 10(3):E818-30. Epub 2022 Sep 20. DOI: https:\/\/doi.org\/10.9778\/cmajo.20210328<\/a><\/p>\",\n \"Abstract\": \"

Background<\/strong> — COVID-19 imposed substantial health and economic burdens. Comprehensive population-based estimates of healthcare costs for COVID-19 are essential for planning and policy evaluation. We estimated publicly funded healthcare costs in 2 Canadian provinces during the pandemic’s first wave.<\/p>n

Methods<\/strong> — In this historical cohort study, we linked patients with their first positive SARS-CoV-2 test result by June 30, 2020, in 2 Canadian provinces (British Columbia and Ontario) to healthcare administrative databases and matched to negative or untested controls. We stratified patients by highest level of initial care: community, long-term care, hospital (without admission to the intensive care unit [ICU]) and ICU. Mean publicly funded healthcare costs for patients and controls, mean net (attributable to COVID-19) costs and total costs were estimated from 30 days before to 120 days after the index date, or to July 31, 2020, in 30-day periods for patients still being followed by the start of each period.<\/p>n

Results<\/strong> — We identified 2465 matched people with a positive test result for SARS-CoV-2 in BC and 28 893 in Ontario. Mean age was 53.4 (standard deviation [SD] 21.8) years (BC) and 53.7 (SD 22.7) years (Ontario); 55.7% (BC) and 56.1% (Ontario) were female. Net costs in the first 30 days after the index date were $22 010 (95% confidence interval [CI] 19 512 to 24 509) and $15 750 (95% CI 15 354 to 16 147) for patients admitted to hospital, and $65 828 (95% CI 58 535 to 73 122) and $56 088 (95% CI 53 721 to 58 455) for ICU patients in BC and Ontario, respectively. In the community and long-term care settings, net costs were near 0. Total costs for all people, from 30 days before to 30 days after the index date, were $22 128 330 (BC) and $175 778 210 (Ontario).<\/p>n

Interpretation<\/strong> — During the first wave, we found that mean costs attributable to COVID-19 were highest for patients with ICU admission and higher in BC than Ontario. Reducing the number of people who acquire COVID-19 and severity of illness are required to mitigate the economic impact of COVID-19.<\/p>n

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