Articles Vol. 66 No. CĐ14-HNKH BV Giao thông Vận tải 12/01/2026

34. MEDICATION USE AND COST OF HEART FAILURE TREATMENT IN 2022: A STUDY AT A GRADE I HOSPITAL, HO CHI MINH CITY

Tran Thi Bich Hien1,2, Nguyen Trong Hao3,4, Nguyen Minh Hieu5,6, Vu Van Quynh2,7, Nguyen Van Pol2,7, Doan Thao Vy8,9, Ngo Dinh Nhan10,11, Vu Quang Trung12,13
1 Faculty of Pharmacy, Pham Ngoc Thach University of Medicine, Ho Chi Minh City
2 Khoa Dược, Trường Đại học Y khoa Phạm Ngọc Thạch
3 Faculty of Medicine, Pham Ngoc Thach University of Medicine, Ho Chi Minh City
4 Khoa Y, Trường Đại học Y khoa Phạm Ngọc Thạch
5 Policy Management Board, Political Department, Military Hospital 175
6 Ban cán bộ chính sách, Phòng Chính trị, Bệnh viện Quân Y 175
7 Faculty of Pharmacy, Pham Ngoc Thach University of Medicine
8 Nguyen Thuong Hien High School, Ho Chi Minh City.
9 Trường Trung học phổ thông Nguyễn Thượng Hiền, TP. Hồ Chí Minh.
10 Department of Drug Administration, Ministry of Health.
11 Cục Quản lý Dược, Bộ Y tế.
12 Faculty of Pharmacy, Pham Ngoc Thach University of Medicine.
13 Khoa Dược, Trường Đại học Y khoa Phạm Ngọc Thạch.
Corresponding author: trungvq@pnt.edu.vn
DOI: 10.52163/yhc.v66iCD14.3140
28 Views
17 Downloads
Abstract

Introduction: Heart failure represents a significant global public health concern, particularly among the elderly population. Furthermore, the economic burden associated with heart failure poses a substantial challenge to healthcare systems worldwide, including Vietnam.

Objective: To analyze the economic burden of heart failure based on direct medical costs from a hospital perspective.

Method: A retrospective analysis was conducted using electronic medical records of heart failure’ inpatients at Military Hospital 175 during 2022. Patients with heart failure as the primary diagnosis were included in the analytical dataset. The study estimated the cost burden based on healthcare services utilized within the hospital setting.

Results: The study comprised 312 heart failure’ inpatients with a mean age of 67.1 ± 14.9 years. The total treatment cost for heart failure amounted to 7,199,653,394 VND, with the majority covered by health insurance. Pharmaceuticals, infusions, and medical supplies constitute the highest proportion of expenditures. Magnesium and potassium supplements represented the largest pharmaceutical expenditure at 75,408,753 VND (4.01% of total costs).

Conclusion: The findings provide healthcare administrators with a comprehensive overview of heart failure-related expenditures, thereby facilitating the development of appropriate strategies for management and allocation of healthcare resources for heart failure treatment.

References
[1]
Đỗ Thị Nam Phương and Nguyễn Anh Duy Tùng. Khảo sát các yếu tố tiên lượng tử vong trên bệnh nhân suy tim phân suất tống máu giảm nhập viện tại Viện Tim TPHCM. 2019 29/05/2022]; Available from: https://timmachhoc.vn/khao-sat-cac-yeu-to-tien-luong-tu-vong-tren-benh-nhan-suy-tim-phan-suat-tong-mau-giam-nhap-vien-tai-vien-tim-tp-hcm/. Google Scholar
[2]
P. A. Heidenreich, N. M. Albert, L. A. Allen, D. A. Bluemke, J. Butler, G. C. Fonarow, J. S. Ikonomidis, O. Khavjou, M. A. Konstam, and T. M. Maddox, Forecasting the impact of heart failure in the United States: a policy statement from the American Heart Association. Circulation: Heart Failure, 2013. 6(3): p. 606-619. Google Scholar
[3]
E. B. Reyes, J.-W. Ha, I. Firdaus, A. M. Ghazi, A. Phrommintikul, D. Sim, Q. N. Vu, C. W. Siu, W.-H. Yin, and M. R. Cowie, Heart failure across Asia: same healthcare burden but differences in organization of care. International journal of cardiology, 2016. 223: p. 163-167. Google Scholar
[5]
E. Kim, H.-Y. Kwon, S. H. Baek, H. Lee, B.-S. Yoo, S.-M. Kang, Y. Ahn, and B.-M. Yang, Medical costs in patients with heart failure after acute heart failure events: one-year follow-up study. Journal of Medical Economics, 2018. 21(3): p. 288-293. Google Scholar
[6]
S. C. Ong, J. Z. Low, W. Y. Yew, C. H. Yen, M. A. S. A. Kader, H. B. Liew, and A. K. A. Ghapar, Cost analysis of chronic heart failure management in Malaysia: A multi-centred retrospective study. Frontiers in Cardiovascular Medicine, 2022. 9. Google Scholar