Economics of cancer related medical care: Worldwide estimates and available domestic evidence

Background: The aims of this article were to report findings of domestic research related to assessment of hospital treatment costs of Serbian patients suffering from cancer and show similar study results among foreign trials. The authors also intended to suggest likely strategies to improve loc...

Full description

Bibliographic Details
Main Authors: Radovanović Ana, Dagović Aleksandar, Jakovljević Mihajlo
Format: Article
Language:English
Published: Institute of Oncology, Sremska Kamenica, Serbia 2011-01-01
Series:Archive of Oncology
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0354-7310/2011/0354-73101104059R.pdf
_version_ 1828435462515064832
author Radovanović Ana
Dagović Aleksandar
Jakovljević Mihajlo
author_facet Radovanović Ana
Dagović Aleksandar
Jakovljević Mihajlo
author_sort Radovanović Ana
collection DOAJ
description Background: The aims of this article were to report findings of domestic research related to assessment of hospital treatment costs of Serbian patients suffering from cancer and show similar study results among foreign trials. The authors also intended to suggest likely strategies to improve local cost containment in future. Cost-of-illness studies of most high-income economies have proven that malignant disorders belong to top five disorders according to their overall financial burden. Methods: Our trial was conducted as an in depth, retrospective, bottom-up, trend analysis of services con­sumption patterns and expenses relative to diagnosis at discharge, from perspective of the third party payer. Discounting rates were calculated according to the average official exchange rates of the National Bank of Serbia in respective years. Financial value of medical goods and services consumed was taken out of current price lists of the National Republic Institute on Health Insurance on a day when particular service was provided. Results: There were 434 patients and 4850 admissions processed in 2007, consuming 48,483,740.49 RSD (€613,562.90) while in 2010 there were 539 patients and 9509 admissions, consuming 68,880,953.27 RSD (€658,832.65). In total, drugs value accounts for only 5%, radiotherapy 54% and the rest of expenditure 41% (consulta­tions, surgery, consumables, nursing care, other). Average overall cost per patient treated was 125,922.34 RSD and per hospital admission, it was 8,297.99 RSD. Cancer-related medical care costs, in domestic currency, increased by almost one third in only four-year time span. Conclusion: Higher awareness of clinicians on cost limitations and necessity of prioritization in funding health care, would provide wiser resource allocation and more care with money available.
first_indexed 2024-12-10T19:08:46Z
format Article
id doaj.art-307ad2ef68fb4d1c9a8f7d9827fc8ec6
institution Directory Open Access Journal
issn 0354-7310
1450-9520
language English
last_indexed 2024-12-10T19:08:46Z
publishDate 2011-01-01
publisher Institute of Oncology, Sremska Kamenica, Serbia
record_format Article
series Archive of Oncology
spelling doaj.art-307ad2ef68fb4d1c9a8f7d9827fc8ec62022-12-22T01:36:49ZengInstitute of Oncology, Sremska Kamenica, SerbiaArchive of Oncology0354-73101450-95202011-01-01193-4596310.2298/AOO1104059REconomics of cancer related medical care: Worldwide estimates and available domestic evidenceRadovanović AnaDagović AleksandarJakovljević MihajloBackground: The aims of this article were to report findings of domestic research related to assessment of hospital treatment costs of Serbian patients suffering from cancer and show similar study results among foreign trials. The authors also intended to suggest likely strategies to improve local cost containment in future. Cost-of-illness studies of most high-income economies have proven that malignant disorders belong to top five disorders according to their overall financial burden. Methods: Our trial was conducted as an in depth, retrospective, bottom-up, trend analysis of services con­sumption patterns and expenses relative to diagnosis at discharge, from perspective of the third party payer. Discounting rates were calculated according to the average official exchange rates of the National Bank of Serbia in respective years. Financial value of medical goods and services consumed was taken out of current price lists of the National Republic Institute on Health Insurance on a day when particular service was provided. Results: There were 434 patients and 4850 admissions processed in 2007, consuming 48,483,740.49 RSD (€613,562.90) while in 2010 there were 539 patients and 9509 admissions, consuming 68,880,953.27 RSD (€658,832.65). In total, drugs value accounts for only 5%, radiotherapy 54% and the rest of expenditure 41% (consulta­tions, surgery, consumables, nursing care, other). Average overall cost per patient treated was 125,922.34 RSD and per hospital admission, it was 8,297.99 RSD. Cancer-related medical care costs, in domestic currency, increased by almost one third in only four-year time span. Conclusion: Higher awareness of clinicians on cost limitations and necessity of prioritization in funding health care, would provide wiser resource allocation and more care with money available.http://www.doiserbia.nb.rs/img/doi/0354-7310/2011/0354-73101104059R.pdfHealth Care CostsNeoplasmsCost of IllnessSerbiaHealth ExpendituresRadiation Oncology
spellingShingle Radovanović Ana
Dagović Aleksandar
Jakovljević Mihajlo
Economics of cancer related medical care: Worldwide estimates and available domestic evidence
Archive of Oncology
Health Care Costs
Neoplasms
Cost of Illness
Serbia
Health Expenditures
Radiation Oncology
title Economics of cancer related medical care: Worldwide estimates and available domestic evidence
title_full Economics of cancer related medical care: Worldwide estimates and available domestic evidence
title_fullStr Economics of cancer related medical care: Worldwide estimates and available domestic evidence
title_full_unstemmed Economics of cancer related medical care: Worldwide estimates and available domestic evidence
title_short Economics of cancer related medical care: Worldwide estimates and available domestic evidence
title_sort economics of cancer related medical care worldwide estimates and available domestic evidence
topic Health Care Costs
Neoplasms
Cost of Illness
Serbia
Health Expenditures
Radiation Oncology
url http://www.doiserbia.nb.rs/img/doi/0354-7310/2011/0354-73101104059R.pdf
work_keys_str_mv AT radovanovicana economicsofcancerrelatedmedicalcareworldwideestimatesandavailabledomesticevidence
AT dagovicaleksandar economicsofcancerrelatedmedicalcareworldwideestimatesandavailabledomesticevidence
AT jakovljevicmihajlo economicsofcancerrelatedmedicalcareworldwideestimatesandavailabledomesticevidence