Az akut myocardialis infarctus betegségterhe Magyarországon, 2003-2005

Translated title of the contribution: Hospital costs of acute myocardial infarction in Hungary; 2003-2005

L. Gulácsi, István Majer, I. Boncz, Valentin Brodszky, B. Merkely, Horvath Pal Maurovich, Krisztián Kárpáti

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: The morbidity of acute myocardial infarction (AMI) is remarkable in Hungary, therefore understanding the disease burden more accurately is inevitable. Aim: We assessed the hospitalized AMI patient's burden on the financer both in active and chronic hospital care as well as outpatient visits and we estimated the size of indirect social costs. Methods: We assessed the active and chronic hospital care costs of 'new' AMI patients having the event in May 2003. The costs were assessed in the subsequent 12 and 24 months to the event in the population over 25 with the morbidity from the database of the National Health Insurance Fund Administration (NHIFA). Data were collected by gender and age (age groups 25-44, 45-64, 65 and over). Costs of GPs, specialist visits, transportations and productivity losses were taken into account as other costs. Results: Average health insurance costs of AMI's active hospital care in the first 12 months are generally higher in females as in mates; 476.3 thousand HUF vs 391.1 thousand HUF (65 and over), 429.1 thousand HUF vs 389.4 thousand HUF (45-64) and 229.5 thousand HUF vs 240.6 thousand HUF (25-44). The burden in the chronic care is 15-40 thousand HUF per patient in the first year, which is similar to the active care costs in the 13-24th months after the AMI (22-54 thousand HUF). Conclusion: NHIFA was estimated to spend 4.4 billion HUF on direct health care on behalf of the nearly 12 thousand annual AMI patients in the first 12 months, 3.6 billion HUF on the active and 370 million on the chronic hospital care. Avoiding one AMI could save 345-565 thousand HUF (depending on gender and age) direct health care cost in the first 12 months. In our estimation the annual indirect costs of AMI exceed 840 million HUF (177 829 HUF/patient) in the working age group.

Original languageHungarian
Pages (from-to)1259-1266
Number of pages8
JournalOrvosi Hetilap
Volume148
Issue number27
DOIs
Publication statusPublished - Jul 8 2007

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Hungary
Hospital Costs
Myocardial Infarction
Costs and Cost Analysis
National Health Programs
Health Care Costs
Age Groups
Morbidity
Health Insurance
Outpatients
Databases
Delivery of Health Care
Population

ASJC Scopus subject areas

  • Medicine(all)

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Az akut myocardialis infarctus betegségterhe Magyarországon, 2003-2005. / Gulácsi, L.; Majer, István; Boncz, I.; Brodszky, Valentin; Merkely, B.; Maurovich, Horvath Pal; Kárpáti, Krisztián.

In: Orvosi Hetilap, Vol. 148, No. 27, 08.07.2007, p. 1259-1266.

Research output: Contribution to journalArticle

Gulácsi, L. ; Majer, István ; Boncz, I. ; Brodszky, Valentin ; Merkely, B. ; Maurovich, Horvath Pal ; Kárpáti, Krisztián. / Az akut myocardialis infarctus betegségterhe Magyarországon, 2003-2005. In: Orvosi Hetilap. 2007 ; Vol. 148, No. 27. pp. 1259-1266.
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abstract = "Background: The morbidity of acute myocardial infarction (AMI) is remarkable in Hungary, therefore understanding the disease burden more accurately is inevitable. Aim: We assessed the hospitalized AMI patient's burden on the financer both in active and chronic hospital care as well as outpatient visits and we estimated the size of indirect social costs. Methods: We assessed the active and chronic hospital care costs of 'new' AMI patients having the event in May 2003. The costs were assessed in the subsequent 12 and 24 months to the event in the population over 25 with the morbidity from the database of the National Health Insurance Fund Administration (NHIFA). Data were collected by gender and age (age groups 25-44, 45-64, 65 and over). Costs of GPs, specialist visits, transportations and productivity losses were taken into account as other costs. Results: Average health insurance costs of AMI's active hospital care in the first 12 months are generally higher in females as in mates; 476.3 thousand HUF vs 391.1 thousand HUF (65 and over), 429.1 thousand HUF vs 389.4 thousand HUF (45-64) and 229.5 thousand HUF vs 240.6 thousand HUF (25-44). The burden in the chronic care is 15-40 thousand HUF per patient in the first year, which is similar to the active care costs in the 13-24th months after the AMI (22-54 thousand HUF). Conclusion: NHIFA was estimated to spend 4.4 billion HUF on direct health care on behalf of the nearly 12 thousand annual AMI patients in the first 12 months, 3.6 billion HUF on the active and 370 million on the chronic hospital care. Avoiding one AMI could save 345-565 thousand HUF (depending on gender and age) direct health care cost in the first 12 months. In our estimation the annual indirect costs of AMI exceed 840 million HUF (177 829 HUF/patient) in the working age group.",
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AU - Gulácsi, L.

AU - Majer, István

AU - Boncz, I.

AU - Brodszky, Valentin

AU - Merkely, B.

AU - Maurovich, Horvath Pal

AU - Kárpáti, Krisztián

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AB - Background: The morbidity of acute myocardial infarction (AMI) is remarkable in Hungary, therefore understanding the disease burden more accurately is inevitable. Aim: We assessed the hospitalized AMI patient's burden on the financer both in active and chronic hospital care as well as outpatient visits and we estimated the size of indirect social costs. Methods: We assessed the active and chronic hospital care costs of 'new' AMI patients having the event in May 2003. The costs were assessed in the subsequent 12 and 24 months to the event in the population over 25 with the morbidity from the database of the National Health Insurance Fund Administration (NHIFA). Data were collected by gender and age (age groups 25-44, 45-64, 65 and over). Costs of GPs, specialist visits, transportations and productivity losses were taken into account as other costs. Results: Average health insurance costs of AMI's active hospital care in the first 12 months are generally higher in females as in mates; 476.3 thousand HUF vs 391.1 thousand HUF (65 and over), 429.1 thousand HUF vs 389.4 thousand HUF (45-64) and 229.5 thousand HUF vs 240.6 thousand HUF (25-44). The burden in the chronic care is 15-40 thousand HUF per patient in the first year, which is similar to the active care costs in the 13-24th months after the AMI (22-54 thousand HUF). Conclusion: NHIFA was estimated to spend 4.4 billion HUF on direct health care on behalf of the nearly 12 thousand annual AMI patients in the first 12 months, 3.6 billion HUF on the active and 370 million on the chronic hospital care. Avoiding one AMI could save 345-565 thousand HUF (depending on gender and age) direct health care cost in the first 12 months. In our estimation the annual indirect costs of AMI exceed 840 million HUF (177 829 HUF/patient) in the working age group.

KW - Acute myocardial infarction

KW - Finance

KW - Health insurance

KW - Hungary

KW - Incidence

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