مخارج درماني بيماران قلب و عروق در بيمارستان هاي دانشگاهي شهراصفهان (1373-1368)

Costs of therapeutic modalities of cardiovascular patients in Isfahan University hospitals

Costs of cardiovascular therapeutic care compromises a great economic burden, both for the patient and the health and insurance systems due to the future loss of capabilities and performance defects of the patients. For a proper managing decision to be made, detailed information would be necessary. In a retrospective descriptive-analytical study, 2304 cardiovascular cases of the Isfahan University hospitals during a 6 -year period were studied. A stratified sampling model was adopted for case selection and a sample size of 384 patients were randomly selected among the total patients in each year. The costs of the different modalities and admission rates were calculated according to each patient group during the 6 years period. The mean admission cost of one MI patient was 101955±21492 Rs and this charge for a chronic ischemic heart disease was 97654±18712 Rs, for hypertension 162824±42196 Rs, congenital heart disease 197451±113341 Rs, a patient with arrhythmia 108411±27502 Rs and for a congestive heart falilure patient the mean cost was 98015±16305 Rs. Pace maker implantation, CABG and valve replacement were the three most costly interventions. The increasing trend of economic burden suggests a sum of 400, 000, 000, 000 Rials to be devoted to cardiac patients in the year 2004 in the country. Prevention could be an effective method for cost containment and increasing cost-effectiveness of the health care for these patients.