Pervaiz Mahmood Hashmi1*, Alizah Pervaiz Hashmi1 and Obada Hasan2
Department of Orthopedic Surgery, Aga Khan University Hospital, Karachi, Pakistan 2 Aga Khan University Hospital, Karachi, Pakistan 3 Department of Orthopedic Oncology & Reconstruction, University of Iowa Hospitals & Clinics, USAFulltext PDF
Introduction: The outbreak of COVID-19 has changed the dynamics of entire world. The pandemic had affected the functioning of hospitals and health care organizations. Majority of hospitals have shut down their outpatient clinic and elective operative work. The health organizations are facing unprecedented financial challenges due to less income and additional expenditure on procurement of PPEs. We conducted a retrospective cross-sectional study in a tertiary care hospital of LMI country. The main objective was to see reduction in volumes, revenue generation and impact on health care workers in terms of health, financial package and retention of their jobs. Materials and Methods: This retrospective cross-sectional study was conducted at a Tertiary Care Hospital of Karachi, Pakistan over a period of twelve weeks from February 1st to April 30th, 2020. The study duration divided into two time periods; Pre-COVID Era and COVID Era of six weeks each. Pre-COVID era had normal functioning of outpatient clinics and inpatients services while in COVID era only emergent, semi-emergent work was allowed. Data was collected from Hospital management software system and following variables were collected; frequency of clinics and number of patients per day, number of admissions and operating procedures per day, expenses due to the use of PPEs. Data was entered in STAT A version 15.0. For quantitative descriptive analysis, median and interquartile ranges were calculated. Results: There was decrease in outpatient volumes of rheumatology and Orthopedic both significantly (p value of
Outpatient; Pre-COVID; COVID Era; Musculoskeletal; Sports Medicine; PPE
Hashmi PM, Hashmi AP, Hasan O. COVID-19 Pandemic: Impact on Financial Viability of Musculoskeletal and Sports Medicine (MSM) Service Line of Tertiary Care Hospital of LMI Country. Clin Surg. 2020; 5: 3019..