The economic impact of critical congenital heart disease to the health system and families in Colombia
| Autor: | Sandra Vanessa Romero Ducuara, Alejandra Taborda Restrepo, Gloria Amparo Troncoso Moreno, Maria Teresa Dominguez, Pablo Sandoval Trujillo, Cindy Lorena Chamorro Velasquez, Pablo Andres Bermúdez Hernadez, Rodolfo Dennis, Alejandra Fonseca Cuevas, Nestor Fernando Sandoval Reyes, Dario Londoño Trujillo, Hernán Camilo Aranguren Bello |
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| Rok vydání: | 2022 |
| Předmět: |
General Immunology and Microbiology
Descriptive statistics Total cost business.industry Psychological intervention General Medicine social sciences 030204 cardiovascular system & hematology General Biochemistry Genetics and Molecular Biology 03 medical and health sciences Indirect costs 0302 clinical medicine 030225 pediatrics Environmental health parasitic diseases Medicine population characteristics Economic impact analysis Social determinants of health General Pharmacology Toxicology and Pharmaceutics Minimum wage Critical congenital heart disease business health care economics and organizations geographic locations |
| DOI: | 10.17605/osf.io/fcvp4 |
| Popis: | Background: Critical congenital heart disease (CCHD) make up a group of heart diseases present in newborns since the prenatal period and requiring early intervention through surgery or percutaneous interventions in the first year of life. Little is known about the societal economic impact associated with their care in low to middle income countries. We estimated direct medical costs, out-of-pocket expenditures and indirect costs of CCHD patients in Colombia. Methods: The methodology to estimate costs involved four stages: identification, measurement, and assessment of resources consumed, and total cost calculation. Regarding medical costs, hospital and ambulatory costs were estimated for the patient’s first year of life using clinical records of 73 patients and with thematic experts. A survey was carried out on 20 children´s caregivers to determine the out-of-pocket expenses and indirect costs. For this estimation, a descriptive analysis was made on the survey taking into account the reported salary. All costs are expressed in US dollars (2017 exchange rates). Results: The average direct medical hospital costs for CCHDs were $25,835 and the ambulatory costs reached $480. Indirect costs were $1,303 and out-of-pocket expenses were $2,058, which for families with an income lower than one monthly minimum wage (1 SMMLV) in 2017 correspond to $250. The impact on their budget was 57%. Conclusions: CCHDs represent an important economic impact both for the Colombian General Social Health System and for families. This study made it possible to estimate the costs that are not easily visible and thus quantified. |
| Databáze: | OpenAIRE |
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