DIRECT MEDICAL COST OF ASTHMA MANAGEMENT IN VIETNAM FOLLOWING CLASSIFCATION OF GINA BASED ON BIG DATA ANALYSIS OF NATIONAL HEALTH INSURANCE DATABASE IN 2019

Phạm Huy Tuấn Kiệt, Vũ Văn Giáp, Nguyễn Thị Thanh Hà

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Abstract

Objective: To evaluate the direct medical cost of asthma management from the perspective of payer based on big data analysis of national health insurance database in 2019. Methods: A descriptive cross-sectional study was conducted to calculate direct medical cost of asthma patients classified by GINA (Global Initiative for Asthma) and by severity of exacerbation. Results: Average cost of patients in GINA step 1, 2, 3-4 and 5 was 1,166,757, 3,222,625, 4,671,554 and 9,229,319, respectively. Medication cost accounted for a significant proportion in the cost of treatment. Compared to patients without exacerbations, those with mild-moderate exacerbations and those with severe exacerbation had 3 times and 5 times higher cost, respectively. Conclusion: Measures that improve asthma control and reduce occurrence of exacerbations can decrease the economic burden of asthma.

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References

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