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The health care costs of heart failure in Sweden
T Rydén-Bergsten1, F Andersson
1Department of Health Economics, AstraZeneca R&D, Mölndal, Sweden. tina.ryden-bergsten@hassle.se.astra.com
Insights
Heart failure treatment in Sweden costs SEK 2000-2600 million annually, representing nearly 2% of the national health care budget. Institutional care accounts for the majority of these significant heart failure treatment expenses.
Area of Science:
- Health Economics
- Cardiology
- Public Health Policy
Background:
- Heart failure is a prevalent and severe medical condition.
- It necessitates substantial allocation of healthcare resources.
Purpose of the Study:
- To quantify the total economic burden of heart failure treatment in Sweden.
- To provide data for resource allocation and health policy development.
Main Methods:
- A prevalence-based cost-of-illness methodology was employed.
- Data sources included official Swedish statistics and clinical studies.
- Costs encompassed institutional care, outpatient services, surgery, and pharmaceuticals.
Main Results:
- Total annual heart failure treatment costs were estimated at SEK 2000-2600 million (1996 prices).
- This represents approximately 2% of the total Swedish healthcare expenditure.
- Institutional care constituted the largest cost component, ranging from SEK 1300-1900 million (65-75% of total costs).
Conclusions:
- Heart failure imposes a significant financial burden on the Swedish healthcare system.
- Prioritizing management programs to reduce reliance on costly institutional care is recommended.
- Such programs should aim to maintain or improve patient quality of life, morbidity, and mortality outcomes.
Aim:
Heart failure is a common and serious condition requiring extensive health care resources. The aim of this study is to estimate the total treatment costs of heart failure in Sweden.
Methods And Results:
The study is a prevalence-based cost-of-illness study. It includes costs of institutional care (hospitals and nursing homes), outpatient care, surgery and drugs. The costs are estimated based on official Swedish statistics, and on various clinical and epidemiological studies. The results are expressed in 1996 prices. The total annual treatment costs for heart failure are approximately Swedish kronor (SEK) 2000-2600 million, or nearly 2% of the Swedish health care budget. Institutional care is the single largest component, amounting to SEK 1300-1900 million, or about 65-75% of the costs of heart failure treatment.
Conclusions:
The results from this study indicate that heart failure is a costly condition. Efforts to develop effective management programmes that can reduce the need for expensive institutional care, without a negative impact on quality of life, morbidity and mortality, should be given high priority.
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