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Cost of heart failure in Swedish primary healthcare
Björn Agvall1, Lars Borgquist, Mats Foldevi
1General Practice, Department of Health and Society, Faculty of Health Sciences, Ekholmsvägen 7, SE-582 29 Linköping, Sweden. bjorn.agvall@lio.se
Insights
The average yearly cost for heart failure (HF) patients is SEK 37,100, with hospital care being the largest expense. Primary healthcare costs for HF patients are higher than previously recognized.
Area of Science:
- Health Economics
- Cardiology
- Primary Care Medicine
Background:
- Heart failure (HF) poses a significant health and economic burden.
- Understanding healthcare costs in primary care settings is crucial for resource allocation.
Purpose of the Study:
- To determine the healthcare costs associated with heart failure (HF) patients within a primary healthcare framework.
- To analyze the distribution of these costs across different healthcare services.
Main Methods:
- A retrospective study was conducted using patient data from two healthcare centers in Linköping, Sweden.
- Data from 115 heart failure (HF) patients over one year were analyzed to assess healthcare utilization and costs.
Main Results:
- The mean annual cost per HF patient was SEK 37,100, with no significant cost variations based on demographics or HF severity.
- Hospital care represented the largest cost component (47%), followed by primary healthcare (22%), medication (18%), nursing home care (5%), and examinations (6%).
Conclusions:
- Hospital care is the most significant cost driver for heart failure (HF) patients.
- The study highlights that primary healthcare costs for HF patients are substantial and higher than previously estimated, contributing to a national annual cost of SEK 5.0-6.7 billion.
Objectives:
To calculate the cost for patients with heart failure (HF) in a primary healthcare setting.
Design:
Retrospective study of all available patient data during a period of one year.
Setting:
Two healthcare centers in Linköping in the southeastern region of Sweden, covering a population of 19 400 inhabitants.
Subjects:
A total of 115 patients with a diagnosis of HF.
Main Outcome Measures:
The healthcare costs for patients with HF and the healthcare utilization concerning hospital days and visits to doctors and nurses in hospital care and primary healthcare.
Results:
The mean annual cost for a patient with HF was SEK 37 100. There were no significant differences in cost between gender, age, New York Heart Association functional class, and cardiac function. The distribution of cost was 47% for hospital care, 22% for primary healthcare, 18% for medication, 5% for nursing home, and 6% for examinations.
Conclusion:
Hospital care accounts for the largest cost but the cost in primary healthcare is larger than previously shown. The total annual cost for patients with HF in Sweden is in the range of SEK 5.0-6.7 billion according to this calculation, which is higher than previously known.
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