Cost of Hypertension Treatment in Yasothon Hospital

Main Article Content

Nattida Deepetch
Surasak Chaiyasong
Suratchada Chanasopon

Abstract

Introduction: Hypertension is the most common chronic disease related to rising healthcare expenditures. The objective of this study is to examine cost of hypertension treatment in Yasothon hospital. Methods: Retrospective study using the hospital electronic database during October 2014 r November 2015 was conducted. Hypertension patients aged 35 years or older with ICD-10 code I10-I15 were included to measure their demographics and treatment costs including medication, laboratory test, medical services and medical supply costs. Descriptive statistics were applied to summarize the treatment costs. Results: There were 10,957 patients (6,340 outpatients and 4,617 inpatients) aged 63.7±11.5 years. Total cost of hypertension treatment was 93,682,281 Baht (16% OP cost, 84% IP cost). For outpatients, average treatment cost was 613.6±910.6 baht/patient/year where medication cost was accounted for 47.8%. For inpatients, average treatment cost was 13,294.7±25,264.2 baht/patient/year with medication cost at 33.5%. Treatment costs for hypertension with complications were 1,042.5 - 3,136.6 baht/patient/year in outpatients and 13,014.4 r 168,524.4 baht/patient/year in inpatients. Conclusion: Treatment cost of hypertension with complications is high. Prevention of hypertension and its complications in particular high-risk populations should be considered to reduce health burden and expenditure.

Article Details

Section
Pharmaceutical Practice

References

Alte F, Jan OJ, Odd B, et al. Comparative effectiveness of antihypertensive medication for primary prevention of cardiovascular disease: systematic review and multiple treatments meta-analysis. BMC Medicine 2012, 10-33

Bureau of Policy and Strategy, Ministry of public health. 2007. Public health Statistic [online]. Accessed on March 10, 2015 at URL:http://bps.ops.moph.go.th/Healthinformation/statistic55/statistic55.htmlstatistic55.html

Costa JSDd, Fuchs SC, Olinto MTA, Gigante DP, Menezes AMB, Macedo S, et al. Cost-effectiveness of hypertension treatment: a population-based study. Sao Paulo Medical Journal 2002; 120: 100-4

Krisanasap S. 2009. Study on Cost (of Drug)-Outcome of Antihypertensive Drugs Use in the Outpatients Hypertension Clinic. Thai Journal of Hospital Pharmacy 19(2): 136-145

Levy YT, PouvourvilleGd, Westerloppe J, et al. The cost of treating high blood pressure in general practice in France. Eur J Health Econ 2008; 9: 229-236

Odell T, Gregory M. Cost of hypertension treatment. J Gen Intern Med 1995; 10: 686-8

Riewpaiboon A. A standard Cost Lists for health technology assessment [Internet]. [Cited 2016 November 11]. Available form: http://costingmenu.hitap.net/

Suhil MA, Hassali MAA, Ibrahim MIM. Evaluation of direct medical cost in treating hypertension in a Malaysian Public University. Asian Journal of Pharmaceutical and Clinical Research 2010; 3: 170-3

Thai Hypertension Society. Thai Guidelines in the Treatment of Hypertension 2012 update 2015.