PHÂN TÍCH CHI PHÍ ĐIỀU TRỊ HEN PHẾ QUẢN CỦA NGƯỜI BỆNH THAM GIA CHƯƠNG TRÌNH QUẢN LÝ HEN NGOẠI TRÚ TẠI BỆNH VIỆN QUẬN 11 TRÊN QUAN ĐIỂM NGƯỜI CHI TRẢ

Abstract

Asthma with chronic characteristics and many serious complications has become relatively large economic burden for patients, family and society. Asthma COPD outpatient care unit (ACOCU) has applied at District 11 hospital since 2017 and has been proved to improve the efficacy of disease management. However, until now no available study on the benefit of outpatient asthma management program (OAMP) in treatment cost. The aim of this study is to evaluate the treatment costs of asthma of patients over two years participating in OAMP at District 11 hospital. A cross-sectional descriptive study of treatment costs based on retrospective data retrieved from medical records and payment data for asthma treatment patients aged 16 years and older participating in OAMP for two years at District 11 hospital in the period 2017-2020 (for direct medical cost); based on direct interviews with asthma patients, treated at District 11 hospital from February 2021 to May 2021 (for indirect and direct nonmedical cost). All costs have been converted in 2020 using Consumer Price Index (CPI). With sample of 232 patients for retrospective data and 159 patients for interview data, the study recorded a statistically significant difference in the mean asthma of a patient in the first year (8.066.051 VNĐ; 95% CI: 7.338.823 – 8.793.279 VNĐ) compared with the second year (6.324.916 VNĐ; 95% CI: 5.638.181 – 7.011.651 VNĐ) with p < 0.05. Out of total costs, direct medical costs accounted for the highest proportion and range from 67.41% to 73.84%; in which drug costs were always highest (79%).