Cost-effectiveness analysis of COVID-19 treatment for hospitalized patients: a healthcare provider perspective in Batam, Indonesia 10.55131/jphd/2023/210223

Main Article Content

Mesa Sukmadani Rusdi
Yusvina
Dwisari Dillasamola
M.Rifqi Efendi

Abstract

The COVID-19 pandemic is a global crisis that has continued to impact health, population, and the economy. Therefore, this study aims to evaluate the cost-effectiveness of COVID-19 treatment for hospitalized patients from the perspective of healthcare providers. An observational study was conducted retrospectively by collecting data from medical records of hospitalized COVID-19 patients between April 1 and June 30, 2021. The effectiveness of the therapy was evaluated based on COVID-19 treatment guidelines in Indonesia, by calculating the number of recovered patients within 14 days. The study only considered the direct medical costs of treatment, while the cost-effectiveness was analyzed using Average Cost-Effectiveness Ratio (ACER) and Incremental Cost-Effectiveness Ratio (ICER). The results showed that the average direct cost of COVID-19 treatment per patient was approximately IDR 28,114,775.52 ± IDR 16,352,597.11. The most effective treatment was Favipiravir + Levofloxacin + N-acetylcysteine, followed by Favipiravir + Levofloxacin + Azithromycin + N-acetylcysteine, with 97% and 91% effectiveness, respectively. The ACER of COVID-19 treatments ranged from Rp 15,596,973 to 58,140,864, while the ICER was mainly located in the South East Quadrant, with Favipiravir + Levofloxacin + N-acetylcysteine being dominant compared to other treatments, saving IDR 161,653.97 to 33,870,916.17 per recovered patient. Effective COVID-19 treatments for hospitalized patients provide good value for the health system. However, this study was limited by the unavailability of the most recent information on the rapidly evolving pandemic.

Article Details

How to Cite
1.
Mesa Sukmadani Rusdi, Yusvina, Dwisari Dillasamola, M.Rifqi Efendi. Cost-effectiveness analysis of COVID-19 treatment for hospitalized patients: a healthcare provider perspective in Batam, Indonesia: 10.55131/jphd/2023/210223. J Public Hlth Dev [Internet]. 2023 May 26 [cited 2024 Oct. 15];21(2):282-94. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/262388
Section
Original Articles
Author Biographies

Mesa Sukmadani Rusdi, Department of Pharmacy, Jambi Health Polytechnic of Ministry of Health, Kota Baru, Jambi City, Jambi, 36128, Indonesia

Department of Pharmacy, Jambi Health Polytechnic of Ministry of Health, Kota Baru, Jambi City, Jambi, 36128, Indonesia

Department of Pharmacy, Universitas Dharma Andalas, Padang, West Sumatera, 25123, Indonesia

Yusvina, Department of Pharmacy, Universitas Dharma Andalas, Padang, West Sumatera, 25123, Indonesia

Department of Pharmacy, Universitas Dharma Andalas, Padang, West Sumatera, 25123, Indonesia

Dwisari Dillasamola, Departement of Pharmacy, Faculty of Pharmacy, Universitas Andalas, Padang, West Sumatera, 25163, Indonesia

Departement of Pharmacy, Faculty of Pharmacy, Universitas Andalas, Padang, West Sumatera, 25163, Indonesia

M.Rifqi Efendi, Departement of Pharmacy, Faculty of Medicine and Health Sciences, Universitas Jambi, Jambi City, Jambi, 36122, Indonesia

Departement of Pharmacy, Faculty of Medicine and Health Sciences, Universitas Jambi, Jambi City, Jambi, 36122, Indonesia

Department of Pharmacy, Universitas Dharma Andalas, Padang, West Sumatera, 25123, Indonesia

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