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Tumanan-Mendoza BA, Mendoza VL, Bermudez-Delos Santos AAA, Punzalan FER, Pestano NS, Natividad RB, Shiu LA, Macabeo R, Lam HY. Economic burden of hospitalisation for congestive heart failure among adults in the Philippines. Heart Asia 2018; 10:e011039. [PMID: 30397413 PMCID: PMC6203040 DOI: 10.1136/heartasia-2018-011039] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/13/2018] [Revised: 08/21/2018] [Accepted: 08/27/2018] [Indexed: 01/16/2023]
Abstract
OBJECTIVES Hospitalisation for congestive heart failure (CHF) was reported to be 1648 cases for every 100 000 patient claims in 2014 in the Philippines; however, there are no data regarding its economic impact. This study determined CHF hospitalisation cost and its total economic burden. It compared the healthcare-related hospitalisation cost from the societal perspective with the payer's perspective, the Philippine Health Insurance Corporation (PhilHealth). METHODS This is a cost analysis study. Data were obtained from representative government/private hospitals and a drugstore in all regions of the country. Healthcare costs included cost of diagnostics/treatment, professional fees and other CHF-related hospital charges, while non-healthcare costs included production losses, transportation and food expenses. RESULTS The overall mean healthcare-related cost for CHF hospitalisation (class III) in government hospitals in the Philippines in 2014 was PHP19 340-PHP28 220 (US$436-US$636). In private hospitals, it was PHP28 370-PHP41 800 (US$639-US$941). In comparison, PhilHealth's coverage/CHF case rate payment is PHP15 700 (US$354). The mean non-healthcare cost was PHP10 700-PHP14 600 (US$241-US$329). Using PhilHealth's case rate payment and the prevalence of CHF hospitalisation in 2014, the total economic burden was PHP691 522 200 (US$15 574 824). Using the study results on healthcare-related cost meant that the total economic burden for CHF hospitalisation would instead be PHP851 850 000-PHP1 841 563 000 (US$19 185 811-US$41 476 644). CONCLUSIONS The calculated healthcare-related hospitalisation cost for CHF in the Philippines in 2014 demonstrates the disparity between the actual cost and PhilHealth's coverage. This implies a need for policymakers to review its coverage to make healthcare delivery affordable.
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Affiliation(s)
- Bernadette A Tumanan-Mendoza
- Department of Internal Medicine, Section of Cardiology, Manila Doctors Hospital, Manila, Philippines
- Department of Clinical Epidemiology, University of the Philippines Manila, College of Medicine, Manila, Philippines
| | - Victor L Mendoza
- Department of Internal Medicine, Section of Cardiology, De La Salle University Medical Center, Dasmariñas, Cavite, Philippines
- Department of Physiology, De La Salle Health Sciences Institute, Dasmariñas, Cavite, Philippines
| | | | - Felix Eduardo R Punzalan
- Department of Internal Medicine, Section of Cardiology, Manila Doctors Hospital, Manila, Philippines
- Department of Internal Medicine, Section of Cardiology, Philippine General Hospital, Manila, Philippines
| | - Noemi S Pestano
- Department of Internal Medicine, Section of Cardiology, Manila Doctors Hospital, Manila, Philippines
| | - Rudy Boy Natividad
- Department of Internal Medicine, Section of Cardiology, Manila Doctors Hospital, Manila, Philippines
| | - Louie Alfred Shiu
- Department of Internal Medicine, Section of Cardiology, Manila Doctors Hospital, Manila, Philippines
| | - Renelene Macabeo
- Department of Internal Medicine, Section of Cardiology, Manila Doctors Hospital, Manila, Philippines
| | - Hilton Y Lam
- Institute of Health Policy Development, National Institutes of Health, University of the Philippines, Manila, Philippines
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Tumanan-Mendoza BA, Mendoza VL, Bermudez-Delos Santos AAA, Punzalan FER, Pestaño NS, Natividad RB, Shiu LA, Macabeo R. Epidemiologic burden of hospitalisation for congestive heart failure among adults aged ≥19 years in the Philippines. Heart Asia 2017; 9:76-80. [PMID: 28405229 DOI: 10.1136/heartasia-2016-010862] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/18/2016] [Revised: 02/25/2017] [Accepted: 03/07/2017] [Indexed: 01/21/2023]
Abstract
OBJECTIVES The study determined the prevalence of hospitalisation due to congestive heart failure (CHF) among adult patients aged 19 years and above in the Philippines and its 17 regions in 2014. It also determined the demographic profile of these patients, aetiology and type of CHF, comorbidities, duration of hospitalisation and the overall in-hospital mortality rate. METHODS Data collection was done using the hospitalisation claims database of the Philippine Health Insurance Corporation (PhilHealth). All patient claims for CHF, that is, patients who were admitted from 1 January to 31 December 2014, were included. Descriptive statistics were utilised to obtain the results. RESULTS The prevalence rate was 1.6% or 1648 cases of CHF for every 100 000 patient claims for medical conditions in 2014. The mean age was 52.6±15.1 years. There was no sex predilection. Only 22.67% of the hospitalisation claims for CHF listed possible specific aetiologies, the most common of which was hypertensive heart disease (86.7%). There were more cases of systolic compared to diastolic heart failure. The mean length of hospital stay was 5.9 days (+8.2) days (median 4 days), with an overall in-hospital mortality rate of 8.2%. CONCLUSIONS There were 16 cases of heart failure for every 1000 Filipino patients admitted due to a medical condition in 2014. Hypertension was possibly the most common aetiologic factor. Compared to western and Asia-Pacific countries, the local mortality rate was relatively higher.
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Affiliation(s)
- Bernadette A Tumanan-Mendoza
- Department of Internal Medicine, Section of Cardiology, Manila Doctors Hospital, Manila, Philippines; Department of Clinical Epidemiology, University of the Philippines Manila, College of Medicine, Manila, Philippines
| | - Victor L Mendoza
- Department of Internal Medicine, Section of Cardiology, De La Salle University Medical Center, Dasmarinas, Cavite, Philippines; Department of Physiology, De La Salle Health Sciences Institute, Dasmarinas, Cavite, Philippines
| | | | - Felix Eduardo R Punzalan
- Department of Internal Medicine, Section of Cardiology, Manila Doctors Hospital, Manila, Philippines; Section of Cardiology, Department of Internal Medicine, Philippine General Hospital, Manila, Philippines
| | - Noemi S Pestaño
- Department of Internal Medicine, Section of Cardiology , Manila Doctors Hospital , Manila , Philippines
| | - Rudy Boy Natividad
- Department of Internal Medicine, Section of Cardiology , Manila Doctors Hospital , Manila , Philippines
| | - Louie Alfred Shiu
- Department of Internal Medicine, Section of Cardiology , Manila Doctors Hospital , Manila , Philippines
| | - Renelene Macabeo
- Department of Internal Medicine, Section of Cardiology , Manila Doctors Hospital , Manila , Philippines
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