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Health Care and Hospitalisation Costs of Cardiovascular Disease (CVD) in Thailand

DOI: 10.4236/oalib.1105320, PP. 1-5

Subject Areas: Epidemiology

Keywords: Cardiovascular Disease (CVD), Universal Coverage (UC), Ischemic Heart Disease (IHD), Stroke, Length of Stay (LOS), Cost of Treatment

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Abstract

Background: Cardiovascular disease (CVD) has become a leading cause of death and disability in Thailand due to the unhealthy lifestyle of the populace; triggering high risk of exposure to CVD, and increased the number of hospital admissions year on year. Objectives: The concerns generated by the inflation in the health care expenditure among service providers motivated this study to examine the costs of hospitalisation of inpatients with (CVD) conditions in Thailand, 2009. Methods: Anonymised secondary data of 327,435 CVD inpatients under “Universal Coverage” (UC) health care scheme were obtained from the National Health Security Office (NHSO), Thailand. The data (51.69% women and 48.31% men) were classified using International Classification of Diseases, Tenth Revision (ICD-10) code, of which I20 - I25 are Ischemic heart disease (IHD), I60 - I69 are stroke and I00 - I99 are all CVD conditions. Results: Average costs of treatments for all CVD conditions, IHD and stroke were ?21,921 (£1 = ?50), ?32,884 (highest) and ?25617.67 per patient respectively. Absolute total cost increased with age and the cost of admission of male patients is higher than female. The average (three months) length of stay for stroke patients was found to be the highest. Conclusion: Providers generally spent a total of ?7177 million on the treatment of CVD with IHD and stroke taking ?2544 million and ?1920 million respectively.

Cite this paper

Inthawong, R. , Khatab, K. , Whitfield, M. , Collins, K. , Raheem, M. and Ismail, M. (2019). Health Care and Hospitalisation Costs of Cardiovascular Disease (CVD) in Thailand. Open Access Library Journal, 6, e5320. doi: http://dx.doi.org/10.4236/oalib.1105320.

References

[1]  International Health Policy Program (2009) Burden of Disease and Injury in Thailand 2004. Ministry of Public Health, Thailand.
[2]  Aekplakorn, W., Sangthong, R., Kessomboon, P., Putwatana, P., Inthawong, R., Taneepa-nichskul, S., Sritara, P., Sangwatanaroj, S., Chariyalertsak, S. and National Health Examination Survey (NHES) IV Study Group (2012) Changes in Prevalence, Awareness, Treatment and Control of Hypertension in the Thai Population, 2004-2009: Thai National Health Examination Survey III-IV. Journal of Hypertension, 30, 1734-1742. https://doi.org/10.1097/HJH.0b013e3283568158
[3]  Satheannoppakoa, W., et al. (2010) Dietary Consumption Patterns of Thai Population: The 4th Thailand NHES. Ramathibodi Medical Journal, 33, 144-145.
[4]  Chongsuvivatwong, V., Yipintsoi, T., Suriyawongpaisal, P., Cheepudomwit, S., Aekplakorn, W., Faramnuayphol, P., Tatsanavivat, P., Kosulwat, V., Thamthitiwat, S. and Nuntawan, C. (2011) Comparison of Cardiovascular Risk Factors in Five Regions of Thailand: InterASIA Data. Journal of the Medical Association of Thailand, 93, 17-26.
[5]  Stolk, R.P., Suriyawongpaisal, P., Aekplakorn, W., Woodward, M., Neal, B. and InterASIA Collaborative Group (2005) Fat Distribution Is Strongly Associated with Plasma Glucose Levels and Diabetes in Thai Adults—The InterASIA Study. Diabetologia, 48, 657-660. https://doi.org/10.1007/s00125-005-1677-7
[6]  Roth, G.A., Fihn, S.D., Mokdad, A.H., Aekplakorn, W., Hasegawa, T. and Lim, S.S. (2011) High Total Serum Cholesterol, Medication Coverage and Therapeutic Control: An Analysis of National Health Examination Survey Data from Eight Countries. Bulletin of the World Health Organization, 89, 92-101.
https://doi.org/10.2471/BLT.10.079947
[7]  National Health Security Office (2010) Annual Report 2009. National Health Security Office, Bangkok, Thailand.
[8]  Garg, C.C. and Evans, D.B. (2011) What Is the Impact of Non-Communicable Diseases on National Health Expenditures: A Synthesis of Available Data. Discussion Paper No. 3, World Health Organization, Geneva.
[9]  Moleerergpoom, W., Kanjanavanit, R., Jintapakorn, W. and Sritara, P. (2007) Costs of Payment in Thai Acute Coronary Syndrome Patients. Journal of the Medical Association of Thailand, 90, 21-31.
[10]  Thanapop, S., Pannarunothai, S. and Chongsuvivatwong, V. (2009) Profile of Hospital Charges for Chronic Conditions by Health Status and Severity Level: A Case Study of 4 Provinces in Thailand. Asia Pacific Journal of Public Health, 21, 196-204.
[11]  Leartsakulpanitch, J., Nganthavee, W. and Salole, E. (2007) The Economic Burden of Smoking-Related Disease in Thailand: A Prevalence-Based Analysis. Journal of the Medical Association of Thailand, 90, 1925-1929.
https://doi.org/10.1177/1010539509331593
[12]  Pitayatienanan, P., Butchon, R., Yothasamut, J., Aekplakorn, W., Teerawattananon, Y., Suksomboon, N. and Thavorncharoensap, M. (2014) Economic Costs of Obesity in Thailand: A Retrospective Cost-of-Illness Study. BMC Health Services Research, 14, 146. https://doi.org/10.1186/1472-6963-14-146
[13]  Archongka, Y., Manimmanakorn, N., Kuptniratsaikul, V., Solunda, S. and Yee, P. (2008) Unit Cost of Stroke Rehabilitation. Medical Journal of the Medical Association of Thailand, 91, 1257-1262.
[14]  Riewpaiboon, A., Riewpaiboon ,W., Ponsoongnern, K. and Van den Berg, B. (2009) Economic Valuation of Informal Care in Asia: A Case Study of Care for Disabled Stroke Survivors in Thailand. Social Science & Medicine, 69, 648-653.
https://doi.org/10.1016/j.socscimed.2009.05.033
[15]  World Health Organization. International Classification of Diseases, 11th Revision (ICD-11).
[16]  StataCorp, L.P. (2011) STATA: Data Analysis and Statistical Software 12.
http://www.stata.com/
[17]  Tang, C.H., Chuang, P.Y., Chen, C.A. and Fang, Y.C. (2014) Medical Costs of Cardiovascular Diseasesin Taiwan. The Value in Health, 17, A759-A760.
https://doi.org/10.1016/j.jval.2014.08.251
[18]  Brouwer, E.D., Watkins, D., Olson, Z., Goett, J., Nugent, R. and Levin, C. (2015) Provider Costs for Prevention and Treatment of Cardiovascular and Related Conditions in Low-and-Middle-Income Countries: A Systematic Review. BMC Public Health, 15, 1183. https://doi.org/10.1186/s12889-015-2538-z
[19]  Kankeu, H.T., Saksena, P., Xu, K. and Evans, D.B. (2013) The Financial Burden from Non-Communicable Diseases in Low-and-Middle-Income Countries: A Literature Review. Health Research Policy and Systems, 11, 31.
https://doi.org/10.1186/1478-4505-11-31
[20]  Mogyorosy, Z. and Smith, P. (2005) The Main Methodological Issues in Costing Health Care Services: A Literature Review.
[21]  Wei, J.W., Heeley, E.L., Jan, S., Huang, Y., Huang, Q., Wang, J.G., Cheng, Y., Xu, E., Yang, Q., Anderson, C.S. and China QUEST Investigators (2010) Variations and Determinants of Hospital Costs for Acute Stroke in China. PLoS ONE, 5, e13041.
https://doi.org/10.1371/journal.pone.0013041
[22]  Khealani, B.A., Javed, Z.F., Syed, N.A., Shafqat, S. and Wasay, M. (2003) Cost of Acute Stroke Care at a Tertiary Care Hospital in Karachi, Pakistan. Journal of Pakistan Medical Association, 53, 552-555.
[23]  Ilesanmi, O.S., Ige, O.K. and Adebiyi, A.O. (2012) The Managed Hypertensive: The Costs of Blood Pressure Control in a Nigerian Town. Pan African Medical Journal, 12, 96.
[24]  Le, C., Zhankun, S., Jun, D. and Keying, Z. (2012) The Economic Burden of Hypertension in Rural South-West China. Tropical Medicine & International Health, 17, 1544-1551. https://doi.org/10.1111/j.1365-3156.2012.03087.x
[25]  Ngalesoni, F., Ruhago, G., Norheim, O.F. and Robberstad, B. (2014) Economic Cost of Primary Prevention of Cardiovascular Diseases in Tanzania. Health Policy and Planning, 30, 875-884. https://doi.org/10.1093/heapol/czu088
[26]  Trop, M. (2009) Financier de la prise en charge des urgences cardiovasculaires au Centre Hospitalier et Universitaire de Brazzaville. Médecine Tropicale, 69, 45-47.
[27]  Kothari, A., Sagar, V., Ahluwalia, V., Pillai, B.S. and Madan, M. (2009) Costs Associated with Hospital-Acquired Bacteraemia in an Indian Hospital: A Case-Control Study. Journal of Hospital Infection, 71, 143-148.
https://doi.org/10.1016/j.jhin.2008.10.022

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