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Cost–Benefit Analysis of Real-Time Influenza Testing for Patients in German Emergency Rooms

Author

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  • Roland Diel

    (Institute for Epidemiology, University Medical Hospital Schleswig-Holstein, Kiel, Airway Research Center North (ARCN), 24015 Kiel, Germany
    Lung Clinic Grosshansdorf, Germany. Airway Disease Center North (ARCN), German Center for Lung Research (DZL), 22949 Großhansdorf, Germany
    Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW), 22089 Hamburg, Germany)

  • Albert Nienhaus

    (Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW), 22089 Hamburg, Germany
    Institute for Health Service Research in Dermatology and Nursing, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany)

Abstract

Background: Seasonal influenza causes significant morbidity worldwide and has a substantial economic impact on the healthcare system. Objective: To assess the cost–benefit relation of implementing a real-time influenza test in emergency rooms (ER) of German hospitals. Methods: A deterministic decision-analytic model was developed simulating the incremental costs of using the Solana ® Influenza A+B test, compared to those of using conventional clinical judgement alone to confirm or exclude influenza in adult ILI (influenza-like illness) patients, in German ER, prior to hospitalization. Direct costs were evaluated from the hospital perspective, considering resource use directly related to influenza testing and treatment, as well as indirect costs incurred by nosocomial influenza transmission. Results: Through base-case analysis and assuming an influenza prevalence of 42.6%, real-time testing with Solana ® reduced average costs of hospitalized ILI patients by €132.61, per tested patient. Moreover, the Solana ® saved €6.9 per tested patient in favor of the hospital. In probabilistic sensitivity analysis, under all reasonable assumptions, implementing the Solana ® saved on average €144.13 as compared to applying the clinical-judgement-only strategy, thus, it was found to be constantly less expensive. Conclusions: Using highly sensitive and specific real-time influenza tests in ILI patients at German ER might significantly reduce hospital expenditures

Suggested Citation

  • Roland Diel & Albert Nienhaus, 2019. "Cost–Benefit Analysis of Real-Time Influenza Testing for Patients in German Emergency Rooms," IJERPH, MDPI, vol. 16(13), pages 1-16, July.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:13:p:2368-:d:245470
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    References listed on IDEAS

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    1. Maria Michela Gianino & Gianfranco Politano & Antonio Scarmozzino & Michela Stillo & Viola Amprino & Stefano Di Carlo & Alfredo Benso & Carla Maria Zotti, 2019. "Cost of Sickness Absenteeism during Seasonal Influenza Outbreaks of Medium Intensity among Health Care Workers," IJERPH, MDPI, vol. 16(5), pages 1-11, March.
    2. Matthias Vogl, 2012. "Assessing DRG cost accounting with respect to resource allocation and tariff calculation: the case of Germany," Health Economics Review, Springer, vol. 2(1), pages 1-12, December.
    3. Jennifer Haas & Sebastian Braun & Peter Wutzler, 2016. "Burden of influenza in Germany: a retrospective claims database analysis for the influenza season 2012/2013," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 17(6), pages 669-679, July.
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    Cited by:

    1. Yuan Jiang & Ye-qing Tong & Bin Fang & Wen-kang Zhang & Xue-jie Yu, 2022. "Applying the Moving Epidemic Method to Establish the Influenza Epidemic Thresholds and Intensity Levels for Age-Specific Groups in Hubei Province, China," IJERPH, MDPI, vol. 19(3), pages 1-16, February.

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