31. DIRECT MEDICAL COSTS IN THE TREATMENT OF HEART FAILURE AT SOME HOSPITALS IN NORTHERN VIETNAM IN 2023: AN ANALYSIS FROM THE PERSPECTIVE OF HEALTH SYSTEM
Main Article Content
Abstract
Objectives: To analyze the direct medical cost of heart failure treatment at several hospitals in Northern Vietnam.
Methods: This multi-center cross-sectional retrospective study collected data from electronic medical records and cost schedules, applying a healthcare system perspective.
Population: Patients with heart failure were treated at 03 Provincial General Hospital (Phu Tho, Vinh Phuc, and Lang Son) from January 1st, 2023, to December 31st, 2023.
Results: The average cost per outpatient visit was VND 564,613 ± 346,640, with the medication and infusion cost accounting for the greatest proportion (60.0%). The average cost per admission which lasted 6.3 ± 5.2 days, was VND 7,083,868 ± 13,000,390, with the cost for room and board representing the highest proportion (22.4%). Health insurance covered more than 90% of the total costs.
Conclusion: The average cost per outpatient visit and the average cost per admission found in this study were lower than those from previous studies which may be influenced by different study locations. Further research should consider applying more comprehensive perspectives.
Article Details
Keywords
hearth failure, cost, health system
References
[2] Reyes EB, Ha JW, Firdaus I, Ghazi AM, Phrommintikul A, Sim D, et al. Heart failure across Asia: Same healthcare burden but differences in organization of care. Int J Cardiol. 2016;223:163-7.
[3] Dao TD, Tran HTB, Vu QV, Nguyen HTT, Nguyen PV, Vo TQ. The annual economic burden incurred by heart failure patients in Vietnam: a retrospective analysis. J Pharm Policy Pract. 2024;17(1):2381099.
[4] Hùng PM, Trạng BM, Nhi VNY, Huyền MT, Thanh NC, Trâm NTT, et al. Phân tích chi phí trực tiếp y tế trong điều tị suy tim tại một số bệnh viện chuyên khoa giai đoạn 2020-2022. Tạp chí Y học Việt Nam. 2023;527(1B).
[5] N. T. T. Thủy TCĐ, T. T. Hưng. Phân tích chi phí trực tiếp y tế trong điều trị mỗi ca nhập viện do suy tim từ dữ liệu thanh toán bảo hiểm y tế Việt Nam năm 2017-2018. Tạp chí Y học Việt Nam. 2020;491(1).
[6] Bộ Y tế. Quyết định 1857/QĐ-BYT ngày 05/07/2022 về việc ban hành tài liệu chuyên môn "Hướng dẫn chẩn đoán và điều trị suy tim cấp và mạn". 2022.
[7] Whellan DJ, Zhao X, Hernandez AF, Liang L, Peterson ED, Bhatt DL, et al. Predictors of hospital length of stay in heart failure: findings from Get With the Guidelines. J Card Fail. 2011;17(8):649-56.