Hospitalization costs for children with pneumonia in Shanghai, China from 2019 to 2020

ABSTRACT

Pneumonia is the leading cause of death in children under 5 years of age worldwide. In this study, we primarily analyzed the hospitalization costs for children diagnosed with pneumonia in one of the leading public hospitals in Shanghai, China. Furthermore, factors affecting the hospitalization costs for children with pneumonia were evaluated. Data on case diagnosis, hospitalization time, age and various hospitalization expenses were collected. Total hospitalization expense for the 149 cases was $177,750, with an average total cost of $1,193 per person and an average out-of-pocket cost of $642. The highest per capita expenses included fees for laboratory diagnosis ($418), general medical service ($235), western medicine ($253), and antibacterial drugs ($158). The leading diagnosis was bronchopneumonia, with 68 (46%) cases, an average hospital stays of 7.4 days, and average hospitalization expenses of $1,068. Considering the high burden of pneumonia in children, hospitals and governments must make more reasonable use of limited resources of the medical system. At the same time, various types of medical insurance should be added into the children’s medical security system, encourage vaccination with pneumonia vaccines (13-valent pneumococcal conjugate vaccine and 23-valent pneumococcal polysaccharide vaccine), and ensure that more children benefit from the vaccine by including it in the national immunization program.

KEYWORDS:

• Pneumonia
• children
• hospitalization expenses
• out-of-pocket cost

Data availability statement

The datasets analyzed during the current study are not publicly available due to the provision on confidentiality of information of Huangpu CDC but are available from the corresponding author on reasonable request.

Ethical approval and consent to participate

All data were anonymous before access. All methods were performed in accordance with the relevant guidelines and regulations. Consent to participate is not applicable.

Additional information

Funding

This work was supported by Yangtze River DeltaRegional Leading Talents Research Project on Immunization [CSJP032].