Organization of a Hospital Ward Aimed at Admitting Patients with SARS-CoV-2: An Economic and Epidemiological Perspective

Int J Environ Res Public Health. 2021 Sep 7;18(18):9446. doi: 10.3390/ijerph18189446.

Abstract

The SARS-CoV-2 epidemic requires dynamic action on the part of the entire health care system to provide infected patients whose condition requires hospitalization with access to appropriate medical care and infrastructure, including oxygen devices and ventilators. The demand for specialized inpatient care has increased rapidly and in many areas exceeds the resources available to date. Individual hospitals must make investment and organizational decisions to increase their capacity to handle patients with SARS-CoV-2. The aim of the article is to present the organizational and investment steps taken to establish and maintain an infectious hospital ward as well as the clinical and financial consequences of this decision. The study was conducted in a hospital ward that was launched at the end of October 2020 to care for patients with SARS-CoV-2. A case study method was used. The department was characterized taking into account its importance for: (1) the regional level of health coverage of the population, (2) the organization of the hospital's activities, (3) the financial and economic situation of the hospital.

Keywords: COVID-19; SARS-CoV-2; cost analysis; epidemiological situation; infectious hospital ward; organization; pandemic; triage.

MeSH terms

  • COVID-19*
  • Epidemics*
  • Hospitalization
  • Hospitals
  • Humans
  • SARS-CoV-2