越南心力衰竭患者每年承受的经济负担:回顾性分析
Tien Duc Dao1, Hien Thi Bich Tran2, Quynh Van Vu2
1Military Hospital 175, Hochiminh City, Vietnam.
Journal of pharmaceutical policy and practice
|July 31, 2024
概括
心力衰竭 (HF) 对越南医疗保健系统造成了重大经济负担,在2018-2021年期间花费超过100万美元. 药品和医疗用品是最大的开支,突出了需要高效的资源管理.
科学领域:
- 卫生经济学 卫生经济学
- 心脏病学 心脏病学
- 公共卫生政策 公共卫生政策
背景情况:
- 心力衰竭 (HF) 是一个重大的全球性挑战,其特点是高死亡率和频繁的住院治疗,导致全球医疗保健系统面临重大财务压力.
- 越南的医疗保健基础设施在管理与心力衰竭患者护理相关的不断升级的财政负担方面面临相当大的困难.
研究的目的:
- 从越南医院的角度分析住院心力衰竭治疗的直接医疗成本.
- 确定心力衰竭的关键成本驱动因素和财务影响,以告知政策和资源分配.
主要方法:
- 越南175军医院2018-2021年期间906名住院心力衰竭患者电子病历的回顾性分析.
- 评估直接医疗费用,包括药品类别和医疗用品,以确定对医疗保健系统的财务影响.
主要成果:
- 2018-2021年心力衰竭的累计经济负担达到1,068,870美元,年度成本在201,670美元至443,831美元之间.
- 药物和输液 (29.8%) 和医疗用品 (22.1%) 是最大的支出. 酸盐和ARB等特定的HF药物是显著的成本贡献者.
- 医疗保险覆盖了72.7%的总费用,同时伴随疾病和住院时间大大影响了年度治疗费用.
结论:
- 心力衰竭严重影响越南的医疗保健系统及其公民,需要对财务影响和高效的资源管理有充分的了解.
- 该研究强调了越南高温热带的巨大经济负担,其中药物成本是主要的驱动因素. 调查结果支持明智的医疗保健政策,资源配置和优化管理策略.
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