Related Experiment Video
Updated: Mar 10, 2026
Optical Coherence Tomography Based Biomechanical Fluid-Structure Interaction Analysis of Coronary Atherosclerosis Progression
Published on: January 15, 2022
Cardiovascular Disease and Health Care System Impact on Functionality and Productivity in Argentina: A Secondary
Juan I Calcagno1, Sarah J Iribarren2, Joaquín E Caporale3
1Institute of Clinical Effectiveness and Health Policy, Buenos Aires, Argentina; Fogarty International Clinical Research Scholars Program, Bethesda, MD, USA.
Insights
Patients receiving public healthcare after a cardiovascular disease (CVD) event experienced greater declines in functionality and productivity. Lack of insurance, low income, and cerebrovascular disease significantly impacted productivity loss.
Area of Science:
- Cardiovascular Disease Research
- Health Economics
- Public Health Policy
Background:
- Cardiovascular disease (CVD) events significantly impact patient functionality and productivity.
- Healthcare system utilization (public vs. social/private) may influence post-event recovery and economic outcomes.
Purpose of the Study:
- To investigate the differential impact of cardiovascular disease (CVD) events on patient functionality and productivity based on healthcare access (public vs. social/private).
- To identify key determinants of productivity loss following CVD hospitalization in Argentina.
Main Methods:
- Secondary analysis of cross-sectional study data from Argentinian patients (N=431) 3-15 months post-CVD hospitalization.
- Stratification of patients based on public or social/private healthcare utilization.
- Comparison of pre- and post-CVD event changes in functionality and productivity between groups.
Main Results:
- Public sector patients reported significantly greater declines in moderate activity performance, work time, work-related activity scope, and higher rates of emotional problems.
- Health insurance (private/social) and higher income were inversely associated with productivity loss (OR=0.55, P<0.01; OR=0.99, P<0.01).
- Cerebrovascular disease events were significantly associated with productivity loss (OR=2.55, P<0.01).
Conclusions:
- Patients utilizing public healthcare services in Argentina faced a more substantial impact on functionality and productivity post-CVD hospitalization.
- Productivity loss is significantly determined by lack of insurance, low income, and experiencing a cerebrovascular event.
- Further research is warranted to elucidate the factors contributing to these disparities in patient outcomes.
Objectives:
To examine the impact of cardiovascular disease (CVD) events on patient functionality and productivity on the basis of patient use of public or social/private institution health care.
Methods:
A secondary analysis was conducted of data drawn from records of Argentinian patients, 3 to 15 months posthospitalization after a CVD event, who had originally participated in a multicountry, cross-sectional study assessing the microeconomic impact of a CVD event. Respondents were stratified according to their use of health care institution (public or social/private). Among these groups, pre- and post-CVD event changes in functionality and productivity were compared.
Results:
Participants' (N = 431) mean age was 56.5 years, and 73.5% were men. Public sector patients reported significantly higher rates of decline in ability to perform moderate activities (P < 0.05), a greater decrease in time spent at work (P < 0.01), a greater limit in the type of work-related activities (P < 0.01), and a higher rate of emotional problems (P < 0.01). Having health insurance (private or social) (odds ratio [OR] = 0.55; 95% confidence interval [CI] 0.35-0.85; P < 0.01) and a higher income (OR = 0.99; 95% CI 0.99-0.99; P < 0.01) were inversely and significantly associated with loss of productivity. Cerebrovascular disease (OR = 2.55; 95% CI 1.42-4.60; P < 0.01) was also significantly associated with productivity loss.
Conclusions:
In Argentina, patients receiving care in the public sector experienced a greater impact on functionality and productivity after their hospitalization for a CVD event. Lack of insurance, low income, and cerebrovascular disease event were the major determinants of productivity loss. Further investigation is needed to better understand contributors to these differences.
More Related Videos
Related Concept Videos
01:18Cardiovascular Drugs: Classification based on Therapeutic Indications
01:27Peripheral Artery Disease III: Interprofessional Care
01:23Assessment of the Cardiovascular System I: Subjective Data
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
01:29Cardiomyopathy V: Interprofessional Care
01:27Coronary Artery Disease V: Interprofessional Care
01:30Coronary Artery Disease I: Introduction