Table 3.
Healthcare facility costs for medically attended mild or severe respiratory illness, South Africa, 2013‐2015 (DS3 and DS5)
| Item | Unit cost ($) | Any SARI | Influenza‐associated SARI | ||||
|---|---|---|---|---|---|---|---|
| % of itema | Mean duration of incurred cost (d) | Mean cost per illness episode ($) | % of item | Mean duration of incurred cost (d) | Mean cost per illness episode ($) | ||
| Facility fee (24H) | 84.2 | 100.0 | 5.5 | 463.1 | 100.0 | 5.3 | 446.2 |
| Consultation (24H) | 24.3 | 100.0 | 5.5 | 133.6 | 100.0 | 5.3 | 128.7 |
| ICU (24H) | 691.6 | 1.3 | 2.3 | 20.7 | 1.0 | 2.5 | 17.3 |
| Chest X‐ray | 26.2 | 78.3 | N/A | 20.4 | 79.1 | N/A | 20.7 |
| Oxygen (24H) | 34.3 | 38.1 | 1.3 | 16.9 | 35.2 | 1.2 | 14.4 |
| Antibiotic treatment | 18.3b | 94.1 | N/A | 17.2 | 96.3 | N/A | 17.6 |
| Other medications | 8.0c | 100.0 | N/A | 8.0 | 100.0 | N/A | 8.0 |
| HIV test | 17.6d | 83.2 | N/A | 14.6 | 77.8 | N/A | 13.7 |
| Bacterial culture | 4.1 | 30.7 | N/A | 1.3 | 25.8 | N/A | 1.1 |
| Tuberculosis test | 25.0 | 37.1 | N/A | 9.3 | 37.1 | N/A | 9.3 |
| Blood cell count | 4.6 | 88.1 | N/A | 4.1 | 88.3 | N/A | 4.1 |
| CRP test | 5.9 | 47.4 | N/A | 2.8 | 43.1 | N/A | 2.5 |
| ESR test | 2.8 | 12.2 | N/A | 0.3 | 11.9 | N/A | 0.3 |
| Urea test | 2.4 | 74.2 | N/A | 1.8 | 73.2 | N/A | 1.8 |
| Total | N/A | N/A | N/A | 714.8 | N/A | N/A | 685.6 |
| PDE | N/A | N/A | N/A | 129.8 | N/A | N/A | 129.4 |
| Item | Unit cost ($) | Any ILI | Influenza‐associated ILI | ||||
|---|---|---|---|---|---|---|---|
| % of item | Mean duration of incurred cost (d) | Mean cost per illness episode ($) | % of item | Mean duration of incurred cost (d) | Mean cost per illness episode ($) | ||
| Facility fee | 8.4 | 100.0 | N/A | 8.4 | 100.0 | N/A | 8.4 |
| Consultation | 8.1 | 100.0 | N/A | 8.9 | 100.0 | N/A | 8.9 |
| Antibiotic treatment | 11.3 a | 40.1 | N/A | 4.5 | 0.37 | N/A | 4.2 |
| Other medications | 3.3 b | 98.0 | N/A | 3.2 | 0.99 | N/A | 3.3 |
| Total | N/A | N/A | N/A | 25.1 | N/A | N/A | 24.8 |
Abbreviations: CRP, C‐reactive protein; ESR, erythrocyte sedimentation rate; HIV, human immunodeficiency virus; ICU, intensive care unit; ILI, influenza‐like illness; PDE, cost per patient day equivalent; SARI, severe acute respiratory illness.
% of individuals that received the item.
Calculated as the mean cost among patients that were prescribed antibiotics. It accounts for differential costs related to prescribed antibiotics and posology.
Calculated as the mean cost among patients that were prescribed medications other than antibiotics. It accounts for differential costs related to prescribed medications and posology.
Calculated as the mean cost among patients that were tested for HIV. It accounts for differential costs related to HIV diagnostics utilized (ie, rapid test, ELISA, or PCR) as well as for CD4+ cell count and viral load among HIV‐positive individuals when requested by the attending physician.