Cost analysis for the management of acute coronary syndrome using different quality of care indicators
Acta Medica Philippina
;
: 15-22, 2009.
Article
in English
| WPRIM
| ID: wpr-633814
ABSTRACT
OBJECTIVE:
This study determined the economic burden for nonfatal uncomplicated acute coronary syndrome (ACS) using 100% compliance to certain a) non-invasive or b) invasive and non-invasive diagnostic and therapeutic interventions with class I recommendations in the American College of Cardiology-American Heart Association (ACC-AHA) clinical practice guidelines for ACS in three tertiary hospitals using the societal perspective. It also determined the costs using the patient perspective in the setting of one private tertiary hospital.METHODS:
This study was a cost analysis that included a) costs of patient resources, b) production losses, and c) costs of other resources or sectors, from hospitalization to one month post-discharge for ACS. Several models were constructed due to variations in the costs of diagnostic and therapeutic interventions in the three settings.RESULTS:
Using the societal perspective, one model for non-invasive options yielded the following (costs as of January 31, 2009) hospital A, Php87,014 - 124,799; hospital B, Php75,592 - 96,072; hospital C, Php71,969 - 92,148. Excluding fibrinolytic therapy, the lowest total cost would be Php65,000. However, if coronary angiography was added to the models for hospital C, the cost was Php107,154 - 134,574 (coronary angiography was not available in hospitals A and B). Using the patient perspective, the adjusted mean cost for the model which used the least expensive medication was Php96,421 (Standard Deviation = 34,076).CONCLUSION:
The economic burden for nonfatal uncomplicated ACS may range from Php65,000 - 134,574.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Patient Discharge
/
United States
/
Thrombolytic Therapy
/
Coronary Angiography
/
Acute Coronary Syndrome
/
Tertiary Care Centers
/
American Heart Association
/
Hospitalization
Type of study:
Practice guideline
/
Health economic evaluation
Country/Region as subject:
North America
Language:
English
Journal:
Acta Medica Philippina
Year:
2009
Type:
Article
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