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Volume 11
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10.1080/20016689.2022.2160328
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Journal of Market Access & Health Policy (JMAHP) is published by MDPI from Volume 12 Issue 1 (2024). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Taylor & Francis.
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Article

The Burden of Hospitalisations for COVID-19 in France: A Study of All Cases in the National Insurance Claims Database in 2020

by
Claire Leboucher
1,*,
Cécile Blein
1,
Valérie Machuron
2,
Kelly Benyounes
2,
Katell Le lay
2,
Aurélie Millier
1,
Romain Supiot
1 and
François Raffi
3,4
1
HEOR/RWE, Creativ-Ceutical, Paris, France
2
HEOR/RWE, Roche SA France, Paris, France
3
Service des Maladies Infectieuses et Tropicales, CHU de Nantes, Nantes, France
4
CIC UIC 1413 INSERM, CHU de Nantes, Nantes, France
*
Author to whom correspondence should be addressed.
J. Mark. Access Health Policy 2023, 11(1), 2160328; https://doi.org/10.1080/20016689.2022.2160328
Submission received: 8 April 2022 / Revised: 8 December 2022 / Accepted: 12 December 2022 / Published: 5 January 2023

Abstract

Background: The economic consequences of the recent COVID-19 pandemic were substantial. However, direct medical costs in France have not been determined. Objective: To describe patient characteristics, intensity of care, mortality, and direct medical costs in patients hospitalised for COVID-19 infections in France. Study design: A retrospective study of the French national hospital claims database for 2020. Setting: Hospital care. Patients or other participants: All patients hospitalised for COVID-19 in 2020 were included and classified by hospitalisation duration into acute phase and prolonged COVID-19. Intervention: Stratification by intensity of care (Level 1: no or low-flow oxygen support; Level 2: non-invasive ventilation; Level 3: mechanical ventilation). Main outcome measure: Cost of hospital care in 2020 Euros from a payer perspective. Results: 199,455 patients were hospitalised for COVID-19 in France in 2020. 17,824 patients (8.9%) received mechanical ventilation and 32,602 patients (16.3%) died. Mean per patient cost was €5510 ± 7142. This cost was highest in patients receiving Level 3 care, patients aged >80 years and in those with prolonged COVID. Conclusion: The economic burden of hospitalisations for COVID-19 infections in France during 2020 was substantial. The study provides robust baseline data to benchmark advances in the standard of care and to nurture epidemiological models.
Keywords: COVID; hospitalisation; mortality; SDS; intensive care COVID; hospitalisation; mortality; SDS; intensive care

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MDPI and ACS Style

Leboucher, C.; Blein, C.; Machuron, V.; Benyounes, K.; Le lay, K.; Millier, A.; Supiot, R.; Raffi, F. The Burden of Hospitalisations for COVID-19 in France: A Study of All Cases in the National Insurance Claims Database in 2020. J. Mark. Access Health Policy 2023, 11, 2160328. https://doi.org/10.1080/20016689.2022.2160328

AMA Style

Leboucher C, Blein C, Machuron V, Benyounes K, Le lay K, Millier A, Supiot R, Raffi F. The Burden of Hospitalisations for COVID-19 in France: A Study of All Cases in the National Insurance Claims Database in 2020. Journal of Market Access & Health Policy. 2023; 11(1):2160328. https://doi.org/10.1080/20016689.2022.2160328

Chicago/Turabian Style

Leboucher, Claire, Cécile Blein, Valérie Machuron, Kelly Benyounes, Katell Le lay, Aurélie Millier, Romain Supiot, and François Raffi. 2023. "The Burden of Hospitalisations for COVID-19 in France: A Study of All Cases in the National Insurance Claims Database in 2020" Journal of Market Access & Health Policy 11, no. 1: 2160328. https://doi.org/10.1080/20016689.2022.2160328

APA Style

Leboucher, C., Blein, C., Machuron, V., Benyounes, K., Le lay, K., Millier, A., Supiot, R., & Raffi, F. (2023). The Burden of Hospitalisations for COVID-19 in France: A Study of All Cases in the National Insurance Claims Database in 2020. Journal of Market Access & Health Policy, 11(1), 2160328. https://doi.org/10.1080/20016689.2022.2160328

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