Medical costs of keeping the US economy open during COVID-19

被引:23
作者
Chen, Jiangzhuo [1 ]
Vullikanti, Anil [1 ,2 ]
Hoops, Stefan [1 ]
Mortveit, Henning [1 ,3 ]
Lewis, Bryan [1 ]
Venkatramanan, Srinivasan [1 ]
You, Wen [4 ]
Eubank, Stephen [1 ,4 ]
Marathe, Madhav [1 ,2 ]
Barrett, Chris [1 ,2 ]
Marathe, Achla [1 ,4 ]
机构
[1] Univ Virginia, Biocomplex Inst, Network Syst Sci & Adv Comp Div, Charlottesville, VA 22904 USA
[2] Univ Virginia, Dept Comp Sci, Charlottesville, VA 22903 USA
[3] Univ Virginia, Dept Engn Syst & Environm, Charlottesville, VA USA
[4] Univ Virginia, Dept Publ Sci, Charlottesville, VA 22904 USA
基金
美国国家卫生研究院;
关键词
MODELS;
D O I
10.1038/s41598-020-75280-6
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
We use an individual based model and national level epidemic simulations to estimate the medical costs of keeping the US economy open during COVID-19 pandemic under different counterfactual scenarios. We model an unmitigated scenario and 12 mitigation scenarios which differ in compliance behavior to social distancing strategies and in the duration of the stay-home order. Under each scenario we estimate the number of people who are likely to get infected and require medical attention, hospitalization, and ventilators. Given the per capita medical cost for each of these health states, we compute the total medical costs for each scenario and show the tradeoffs between deaths, costs, infections, compliance and the duration of stay-home order. We also consider the hospital bed capacity of each Hospital Referral Region (HRR) in the US to estimate the deficit in beds each HRR will likely encounter given the demand for hospital beds. We consider a case where HRRs share hospital beds among the neighboring HRRs during a surge in demand beyond the available beds and the impact it has in controlling additional deaths.
引用
收藏
页数:10
相关论文
共 29 条
[1]  
Adiga Aniruddha, 2020, medRxiv, DOI 10.1101/2020.02.20.20025882
[2]  
Alvarez Fernando E, 2020, Working Paper 26981
[3]  
[Anonymous], Zprdva k ndvrhu
[4]  
[Anonymous], 2020, U.S. News
[5]  
[Anonymous], 2020, ED WEEK
[6]  
Barrett Christopher L., 2009, Proceedings of the 2009 Winter Simulation Conference (WSC 2009), P1003, DOI 10.1109/WSC.2009.5429425
[7]  
Barrett ChristopherL., 2008, An Interaction-Based Approach to Computational Epidemiology, P1590
[8]   The Potential Health Care Costs And Resource Use Associated With COVID-19 In The United States [J].
Bartsch, Sarah M. ;
Ferguson, Marie C. ;
McKinnell, James A. ;
O'Shea, Kelly J. ;
Wedlock, Patrick T. ;
Siegmund, Sheryl S. ;
Lee, Bruce Y. .
HEALTH AFFAIRS, 2020, 39 (06) :927-935
[9]   Creating synthetic baseline populations [J].
Beckman, RJ ;
Baggerly, KA ;
McKay, MD .
TRANSPORTATION RESEARCH PART A-POLICY AND PRACTICE, 1996, 30 (06) :415-429
[10]  
Center for Disease Control and Prevention, 2020, COV 19 PAND PLANN SC