Estimation of direct medical unit costs (2012 US dollars) per bed-day and outpatient visit to a public hospital.

Notes: a The ratio between the costs of each type of hospital compared to a tertiary hospital in Mexico was derived from the WHO-Choice estimates for Mexico [67].b The distribution of dengue episodes by type of setting was estimated as proportional to the number of beds by setting for hospitalized cases based on MoH health statistics [66].c For ambulatory visits, we obtained the distribution and costs of dengue episodes by type of setting combining data from the Morelos cohort study, hospital questionnaires, expert opinion, WHO estimates, and MoH data. The share of patients that did not seek healthcare (30%) was obtained from interviews in the Morelos cohort study. This estimate is consistent with a 70% probability of using paid or unpaid healthcare services in Mexico obtained by Dávila and Guijarro (2000) [70] using the National Household Income and Expenditure Survey. Patients who sought care were distributed by type of facility based on average annual outpatients visits [68], and WHO-CHOICE estimates [67].Estimation of direct medical unit costs (2012 US dollars) per bed-day and outpatient visit to a public hospital.