Economic burden of coronary artery bypass grafting surgery on government and patients: a two-center study.

IF 1.5 Q3 PHARMACOLOGY & PHARMACY
Layla Abdullah Mahdi, Ali Azeez Al-Jumaili, Cole G Chapman
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引用次数: 0

Abstract

Objective: The objective of this cost-of-illness study was to determine the direct medical costs associated with coronary artery bypass grafting (CABG) procedures from both governmental (Ministry of Health) and patient (private sector) perspectives within the context of hospitalization.

Methods: This prospective study was conducted on patients who underwent CABG at two cardiac surgical centers in Baghdad, Iraq: a public and a private hospital. Data were collected from January through July 2024. In the public ward, direct medical costs (DMCs) were extracted from patients' medical records, healthcare providers, and hospital administration. In the private ward/hospital, DMCs were extracted from hospital bills. The cost of the CABG procedure was measured as the cost of the entire hospital admission during which the surgery was performed.

Key findings: The study included 90 patients. Among these patients, 30 were admitted to each of the public ward, private ward, and private hospital. For patients in the public ward, the average cost of CABG during hospitalization was $4,712.89 per patient. For patients admitted to the private ward, the average charges were $3,963 while the actual average cost was $4,504 per patient. On average, each patient paid $9,461 to the private hospital for CABG hospitalization. Finally, in the public ward, CABG materials were the highest cost component (35%) of total expenditure, followed by surgical team labor cost (26%) and hospitalization costs (13.8%).

Conclusion: Despite patients paying charges for CABG in the private ward in the government hospital, the Ministry of Health continues to provide subsidized prices to lower the actual costs. The charges of CABG in the private hospital were double the actual costs of the public ward since it imposes profit. Finally, the study methodologies can be adopted by any country operating under the Beveridge Model or out-of-pocket health systems.

冠状动脉搭桥术对政府和患者的经济负担:一项双中心研究。
目的:本疾病成本研究的目的是从政府(卫生部)和患者(私营部门)的角度确定与住院背景下冠状动脉旁路移植术(CABG)手术相关的直接医疗费用。方法:这项前瞻性研究是在伊拉克巴格达的两家心脏手术中心进行的:一家公立医院和一家私立医院。数据收集于2024年1月至7月。在公立病房,直接医疗费用(dmc)是从患者的医疗记录、医疗保健提供者和医院管理中提取的。在私人病房/医院,从医院账单中提取医疗费用。冠状动脉搭桥手术的费用是以手术期间整个住院的费用来衡量的。主要发现:该研究包括90名患者。在这些患者中,公立病房、私立病房和私立医院各有30人入住。对于公立病房的患者,住院期间冠脉搭桥的平均费用为每位患者4,712.89美元。私家病房病人的平均收费为3,963元,而每位病人的实际平均费用为4,504元。每位病人平均向私立医院支付9,461美元的冠状动脉搭桥住院费用。最后,在公立病房,CABG材料是总支出中最高的成本组成部分(35%),其次是手术团队人工成本(26%)和住院费用(13.8%)。结论:尽管患者在公立医院的私立病房进行冠脉搭桥收费,但卫生部继续提供补贴价格,以降低实际成本。私立医院的CABG收费是公立病房实际费用的两倍,因为它有利润。最后,研究方法可以被任何在贝弗里奇模式下运作的国家或自费卫生系统所采用。
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来源期刊
CiteScore
2.90
自引率
5.60%
发文量
146
期刊介绍: The International Journal of Pharmacy Practice (IJPP) is a Medline-indexed, peer reviewed, international journal. It is one of the leading journals publishing health services research in the context of pharmacy, pharmaceutical care, medicines and medicines management. Regular sections in the journal include, editorials, literature reviews, original research, personal opinion and short communications. Topics covered include: medicines utilisation, medicine management, medicines distribution, supply and administration, pharmaceutical services, professional and patient/lay perspectives, public health (including, e.g. health promotion, needs assessment, health protection) evidence based practice, pharmacy education. Methods include both evaluative and exploratory work including, randomised controlled trials, surveys, epidemiological approaches, case studies, observational studies, and qualitative methods such as interviews and focus groups. Application of methods drawn from other disciplines e.g. psychology, health economics, morbidity are especially welcome as are developments of new methodologies.
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