Cost of Hypertension Treatment in Yasothon Hospital
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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.
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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.