The Economic Burden of Coronary Heart Disease in Iran: A Bottom-up Approach in 2014
Background & objectives: cardiovascular diseases are the main cause of mortality around the whole world. However, there is limited information on its economic costs in Iran. The aim of this study was to evaluate the economic costs of coronary heart disease in Iran in 2014. Methods: The diseases...
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| Format: | Article |
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Ardabil University of Medical Sciences
2018-10-01
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| Series: | Journal of Ardabil University of Medical Sciences |
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| Online Access: | http://jarums.arums.ac.ir/browse.php?a_code=A-10-1152-1&slc_lang=en&sid=1 |
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| author | Hossein Raghfar Nasrin Sargazi Satar Mehraban Mohammad Ali Akbarzadeh Mohammad Reza Vaez Mahdavi Zahra Vahdati Manesh |
| author_facet | Hossein Raghfar Nasrin Sargazi Satar Mehraban Mohammad Ali Akbarzadeh Mohammad Reza Vaez Mahdavi Zahra Vahdati Manesh |
| author_sort | Hossein Raghfar |
| collection | DOAJ |
| description | Background & objectives: cardiovascular diseases are the main cause of mortality around the whole world. However, there is limited information on its economic costs in Iran. The aim of this study was to evaluate the economic costs of coronary heart disease in Iran in 2014.
Methods: The diseases costs were calculated based on the incidence approach using a bottom-up method and a community-oriented perspective. The drug cost information was obtained from angiographed patients (607 cases) in Shahid Modarres Hospital using simple random sampling method. Other information like disease incidence, distribution of patients, treatment patterns, length of stay and mortality rate was gathered from the literature, interview with patients, consultation with specialists, questionnaire, ministry of health and statistical center of Iran.
Results: Coronary heart diseases impose a significant economic burden in the range of 4,715 and 4,908 billion dollars (210,037,860,000,000-201,778,425,000,000 rials) upon Iran economic system. The medical costs and the costs of lost productivity due to premature death were calculated at USD 3.572 billion (152,863,740,000,000 rials) and USD 933 million (39,927,735,000,000 rials) respectively. The major part of medical costs was related to angioplasty costs (47%) and the minor part was related to drug costs (1.15%).
Conclusion: Coronary heart diseases impose a lot of financial costs to Iran healthcare system which cover more than 16% of whole healthcare financial costs. It is possible to streamline all consequential costs due to coronary heart disease by means of economic and effective use of resources and widespread self-care plan. |
| first_indexed | 2024-12-21T02:16:31Z |
| format | Article |
| id | doaj.art-f79c1dc4776e43ee978bedebe845188a |
| institution | Directory Open Access Journal |
| issn | 2228-7280 2228-7299 |
| language | fas |
| last_indexed | 2024-12-21T02:16:31Z |
| publishDate | 2018-10-01 |
| publisher | Ardabil University of Medical Sciences |
| record_format | Article |
| series | Journal of Ardabil University of Medical Sciences |
| spelling | doaj.art-f79c1dc4776e43ee978bedebe845188a2022-12-21T19:19:16ZfasArdabil University of Medical SciencesJournal of Ardabil University of Medical Sciences2228-72802228-72992018-10-01183341356The Economic Burden of Coronary Heart Disease in Iran: A Bottom-up Approach in 2014Hossein Raghfar0Nasrin Sargazi1Satar Mehraban2Mohammad Ali Akbarzadeh3Mohammad Reza Vaez Mahdavi4Zahra Vahdati Manesh5 Department of Economics, School of Social Sciences and Economics, ALZahra University, Tehran, Iran Department of Economics, School of Social Sciences and Economics, ALZahra University, Tehran, Iran Department of Cardiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran Department of Physiology, School of Medicine, Shahed University, Tehran, Iran Department of Health Economics and Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Background & objectives: cardiovascular diseases are the main cause of mortality around the whole world. However, there is limited information on its economic costs in Iran. The aim of this study was to evaluate the economic costs of coronary heart disease in Iran in 2014. Methods: The diseases costs were calculated based on the incidence approach using a bottom-up method and a community-oriented perspective. The drug cost information was obtained from angiographed patients (607 cases) in Shahid Modarres Hospital using simple random sampling method. Other information like disease incidence, distribution of patients, treatment patterns, length of stay and mortality rate was gathered from the literature, interview with patients, consultation with specialists, questionnaire, ministry of health and statistical center of Iran. Results: Coronary heart diseases impose a significant economic burden in the range of 4,715 and 4,908 billion dollars (210,037,860,000,000-201,778,425,000,000 rials) upon Iran economic system. The medical costs and the costs of lost productivity due to premature death were calculated at USD 3.572 billion (152,863,740,000,000 rials) and USD 933 million (39,927,735,000,000 rials) respectively. The major part of medical costs was related to angioplasty costs (47%) and the minor part was related to drug costs (1.15%). Conclusion: Coronary heart diseases impose a lot of financial costs to Iran healthcare system which cover more than 16% of whole healthcare financial costs. It is possible to streamline all consequential costs due to coronary heart disease by means of economic and effective use of resources and widespread self-care plan.http://jarums.arums.ac.ir/browse.php?a_code=A-10-1152-1&slc_lang=en&sid=1Coronary Heart DiseaseCost-of-IllnessEconomic BurdenIran |
| spellingShingle | Hossein Raghfar Nasrin Sargazi Satar Mehraban Mohammad Ali Akbarzadeh Mohammad Reza Vaez Mahdavi Zahra Vahdati Manesh The Economic Burden of Coronary Heart Disease in Iran: A Bottom-up Approach in 2014 Journal of Ardabil University of Medical Sciences Coronary Heart Disease Cost-of-Illness Economic Burden Iran |
| title | The Economic Burden of Coronary Heart Disease in Iran: A Bottom-up Approach in 2014 |
| title_full | The Economic Burden of Coronary Heart Disease in Iran: A Bottom-up Approach in 2014 |
| title_fullStr | The Economic Burden of Coronary Heart Disease in Iran: A Bottom-up Approach in 2014 |
| title_full_unstemmed | The Economic Burden of Coronary Heart Disease in Iran: A Bottom-up Approach in 2014 |
| title_short | The Economic Burden of Coronary Heart Disease in Iran: A Bottom-up Approach in 2014 |
| title_sort | economic burden of coronary heart disease in iran a bottom up approach in 2014 |
| topic | Coronary Heart Disease Cost-of-Illness Economic Burden Iran |
| url | http://jarums.arums.ac.ir/browse.php?a_code=A-10-1152-1&slc_lang=en&sid=1 |
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