三级医院急性冠脉综合征患者治疗费用负担分析

Rao Kn, Reddy Gn, N. Vinny, S. Das, C. Dhanapal, S. Selvamuthukumaran
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引用次数: 1

摘要

背景:本研究涉及急性冠脉综合征(ACS)的药物流行病学和药物经济学研究及其对患者治疗结果和治疗费用的影响。根据世界卫生组织(世卫组织)最近的一份报告,每年约有1亿人因与疾病有关的贫困而死亡。随着有关疾病经济负担的文献越来越多,本文研究了发生在家庭层面的疾病的间接和直接成本,描述了它对寻求治疗行为的影响,并评估了它对家庭福利的影响。方法:采用明尼苏达州心衰患者生活状况问卷(mlhfq)对急性冠脉综合征(ACS)患者的治疗费用进行分析,并辅以治疗结果,对我院内科、RMMC和医院冠心病监护室(CCU)和内科病房的65例患者进行当代研究,说明费用支出与达到预期治疗效果的一致性。结果:采用相应的数据收集表和MLHFC问卷进行数值观察和记录。总花费(TC)记录为7096.2美元,大多数患者(n=16;35.61%)支付成本范围为(110.1 - 141.5美元)。直接治疗总费用为6278.6美元,占总费用的88.47%;间接治疗总费用为817.6美元,占总费用的11.52%。总体平均MLHFC评分为62.93,而基线评分为37.94,为中度。结论:本研究的设计、计划和实施是为了评估给定治疗的成本和对患者治疗结果的直接影响。
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Analyzing Burden of Cost of Therapy in Patients Affected with Acute Coronary Syndrome in Tertiary Care Hospital
Background: The present research deals with pharmacoepidemiology and pharmacoeconomic study of Acute Coronary Syndrome (ACS) and its impact on patient’s therapeutic outcome and cost of therapy. According to a recent World Health Origination (WHO) report around 100 million people died every year due to poverty associated with illness. Contributing to the growing literature on the economic burden of illness, this article examines the indirect and direct costs of illness that occurs on household level, describes its influence on treatment seeking behavior and assesses its impact on household welfare.   Methods: The contemporary research was performed in Coronary Care Unit (CCU) and medicine ward department of medicine, RMMC and Hospital over 65 patients to illustrate the expenditure in harmony with achieved desired therapeutic outcomes by analyzing therapy cost of Acute Coronary Syndrome (ACS) supplemented via therapeutic outcomes using Minnesota Living with Heart Failure and Condition Questionnaire (MLHFCQ).   Results: The values were observed and recorded using appropriate data collection forms and MLHFC questionnaire. The total cost (TC) spent was recorded as 7,096.2 USD with most patients (n=16; 35.61%) paying in cost range of (110.1 to 141.5 USD). The total direct therapy cost was 6,278.6 USD accounting 88.47% of total cost and indirect cost 817.6 USD (11.52 % of TC). Significant improvement observed in overall mean MLHFC score of 62.93 compared to the baseline score of 37.94 rated moderate.   Conclusion: The study was designed, planned and executed to estimate cost of the given therapy and direct effect on patient therapeutic outcome.
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