Acute Coronary Syndrome Treatment Cost Estimation in Selected Health Care Units in Poland – Pilot Survey Results

Background: The circulatory system diseases are one of biggest health problems which still pose a fundamental cause of mortality in developed countries. Among those illnesses important place takes myocardial ischemia. Aim: The main purpose of this article is to evaluate hospitalization costs of a...

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Main Author: Agnieszka Maciag
Format: Article
Language:English
Published: Faculty of Economics and Business in Osijek 2010-07-01
Series:Ekonomski Vjesnik
Subjects:
Online Access:http://hrcak.srce.hr/file/89163
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author Agnieszka Maciag
author_facet Agnieszka Maciag
author_sort Agnieszka Maciag
collection DOAJ
description Background: The circulatory system diseases are one of biggest health problems which still pose a fundamental cause of mortality in developed countries. Among those illnesses important place takes myocardial ischemia. Aim: The main purpose of this article is to evaluate hospitalization costs of a patient with acute coronary syndrome in health care units conducting diagnostic and surgery (coronarography and PTCA) as well as in health centres, where patients are treated exclusively pharmacologically. Methods: There has been prepared and used author's individual questionnaire enabling estimation of both fixed and variable treatment costs per patient. In economic analysis there have been used micro-costing principle, defining every element of used supplies and calculating unit cost. Results: The analysis has shown that fixed costs of one hospitalized patient in a clinic equipped in hemodynamics laboratory are only 33% of all costs. In hospitals which did not carry out surgeries, variable costs (e.g. medicines) were respectively lower, whereas fixed costs were up to 72% of total treatment costs. A great impact on level of costs had two risk factors: smoking tobacco and hypercholesterolemia. Conclusions: Increasing number of carried out angioplasty, raises total treatment costs of acute coronary syndrome. Over half of all hospitalization costs of one patient with myocardial ischemia in hospitals not equipped in hemodynamics laboratories determines for fixed costs.
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spelling doaj.art-682c0beb1d1d4fcbbc1f30bf03a3509f2024-02-03T04:34:06ZengFaculty of Economics and Business in OsijekEkonomski Vjesnik0353-359X1847-22062010-07-01XXIII1248259Acute Coronary Syndrome Treatment Cost Estimation in Selected Health Care Units in Poland – Pilot Survey ResultsAgnieszka MaciagBackground: The circulatory system diseases are one of biggest health problems which still pose a fundamental cause of mortality in developed countries. Among those illnesses important place takes myocardial ischemia. Aim: The main purpose of this article is to evaluate hospitalization costs of a patient with acute coronary syndrome in health care units conducting diagnostic and surgery (coronarography and PTCA) as well as in health centres, where patients are treated exclusively pharmacologically. Methods: There has been prepared and used author's individual questionnaire enabling estimation of both fixed and variable treatment costs per patient. In economic analysis there have been used micro-costing principle, defining every element of used supplies and calculating unit cost. Results: The analysis has shown that fixed costs of one hospitalized patient in a clinic equipped in hemodynamics laboratory are only 33% of all costs. In hospitals which did not carry out surgeries, variable costs (e.g. medicines) were respectively lower, whereas fixed costs were up to 72% of total treatment costs. A great impact on level of costs had two risk factors: smoking tobacco and hypercholesterolemia. Conclusions: Increasing number of carried out angioplasty, raises total treatment costs of acute coronary syndrome. Over half of all hospitalization costs of one patient with myocardial ischemia in hospitals not equipped in hemodynamics laboratories determines for fixed costs.http://hrcak.srce.hr/file/89163acute coronary syndromecoronary vessel angioplastytreatment costsstent
spellingShingle Agnieszka Maciag
Acute Coronary Syndrome Treatment Cost Estimation in Selected Health Care Units in Poland – Pilot Survey Results
Ekonomski Vjesnik
acute coronary syndrome
coronary vessel angioplasty
treatment costs
stent
title Acute Coronary Syndrome Treatment Cost Estimation in Selected Health Care Units in Poland – Pilot Survey Results
title_full Acute Coronary Syndrome Treatment Cost Estimation in Selected Health Care Units in Poland – Pilot Survey Results
title_fullStr Acute Coronary Syndrome Treatment Cost Estimation in Selected Health Care Units in Poland – Pilot Survey Results
title_full_unstemmed Acute Coronary Syndrome Treatment Cost Estimation in Selected Health Care Units in Poland – Pilot Survey Results
title_short Acute Coronary Syndrome Treatment Cost Estimation in Selected Health Care Units in Poland – Pilot Survey Results
title_sort acute coronary syndrome treatment cost estimation in selected health care units in poland pilot survey results
topic acute coronary syndrome
coronary vessel angioplasty
treatment costs
stent
url http://hrcak.srce.hr/file/89163
work_keys_str_mv AT agnieszkamaciag acutecoronarysyndrometreatmentcostestimationinselectedhealthcareunitsinpolandpilotsurveyresults