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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