Medical resource use and expenditure in patients with chronic heart failure: a population-based analysis of 88 195 patients

AIMS: Heart failure (HF) is one of the diseases with greater healthcare expenditure. However, little is known about the cost of HF at a population level. Hence, our aim was to study the population-level distribution and predictors of healthcare expenditure in patients with HF. METHODS AND RESULTS: T...

Descripción completa

Detalles Bibliográficos
Autores: Farré López, Núria, Vela, Emili, Clèries, Montse, Bustins, Montse, Cainzos-Achirica, Miguel, Enjuanes Grau, Cristina, Moliner Borja, Pedro, Ruiz-Bustillo, Sonia, Verdú-Rotellar, José María, Comín Colet, Josep
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2016
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10230/27316
Acceso en línea:http://hdl.handle.net/10230/27316
http://dx.doi.org/10.1002/ejhf.549
Access Level:acceso abierto
Palabra clave:Infart de miocardi
id ES_7e9c67c8b225e238d155debddb8bf962
oai_identifier_str oai:recercat.cat:10230/27316
network_acronym_str ES
network_name_str España
repository_id_str
spelling Medical resource use and expenditure in patients with chronic heart failure: a population-based analysis of 88 195 patientsFarré López, NúriaVela, EmiliClèries, MontseBustins, MontseCainzos-Achirica, MiguelEnjuanes Grau, CristinaMoliner Borja, PedroRuiz-Bustillo, SoniaVerdú-Rotellar, José MaríaComín Colet, JosepInfart de miocardiAIMS: Heart failure (HF) is one of the diseases with greater healthcare expenditure. However, little is known about the cost of HF at a population level. Hence, our aim was to study the population-level distribution and predictors of healthcare expenditure in patients with HF. METHODS AND RESULTS: This was a population-based longitudinal study including all prevalent HF cases in Catalonia (Spain) on 31 December 2012 (n = 88 195). We evaluated 1-year healthcare resource use and expenditure using the Health Department (CatSalut) surveillance system that collects detailed information on healthcare usage for the entire population. Mean age was 77.4 (12) years; 55% were women. One-year mortality rate was 14%. All-cause emergency department visits and unplanned hospitalizations were required at least once in 53.4% and 30.8% of patients, respectively. During 2013, a total of €536.2 million were spent in the care of HF patients (7.1% of the total healthcare budget). The main source of expenditure was hospitalization (39% of the total) whereas outpatient care represented 20% of the total expenditure. In the general population, outpatient care and hospitalization were the main expenses. In multivariate analysis, younger age, higher presence of co-morbidities, and a recent HF or all-cause hospitalization were independently associated with higher healthcare expenditure. CONCLUSIONS: In Catalonia, a large portion of the annual healthcare budget is devoted to HF patients. Unplanned hospitalization represents the main source of healthcare-related expenditure. The knowledge of how expenditure is distributed in a non-selected HF population might allow health providers to plan the distribution of resources in patients with HF.Miguel Cainzos-Achirica was funded by a research grant frorn the Spanish Society of Cardiology.Wiley20162016info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/27316http://dx.doi.org/10.1002/ejhf.549reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésEuropean Journal of Heart Failure. 2016 Sep;18(9):1132-40This is the pre-peer reviewed version of the following article: Farré N, Vela E, Clèries M, Bustins M, Cainzos-Achirica M, Enjuanes C. et al. Medical resource use and expenditure in patients with chronic heart failure: a population-based analysis of 88 195 patients. Eur J Heart Fail. 2016 Sep;18(9):1132-40, which has been published in final form at http://dx.doi.org/10.1002/ejhf.549]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.info:eu-repo/semantics/openAccessoai:recercat.cat:10230/273162026-05-29T05:05:01Z
dc.title.none.fl_str_mv Medical resource use and expenditure in patients with chronic heart failure: a population-based analysis of 88 195 patients
title Medical resource use and expenditure in patients with chronic heart failure: a population-based analysis of 88 195 patients
spellingShingle Medical resource use and expenditure in patients with chronic heart failure: a population-based analysis of 88 195 patients
Farré López, Núria
Infart de miocardi
title_short Medical resource use and expenditure in patients with chronic heart failure: a population-based analysis of 88 195 patients
title_full Medical resource use and expenditure in patients with chronic heart failure: a population-based analysis of 88 195 patients
title_fullStr Medical resource use and expenditure in patients with chronic heart failure: a population-based analysis of 88 195 patients
title_full_unstemmed Medical resource use and expenditure in patients with chronic heart failure: a population-based analysis of 88 195 patients
title_sort Medical resource use and expenditure in patients with chronic heart failure: a population-based analysis of 88 195 patients
dc.creator.none.fl_str_mv Farré López, Núria
Vela, Emili
Clèries, Montse
Bustins, Montse
Cainzos-Achirica, Miguel
Enjuanes Grau, Cristina
Moliner Borja, Pedro
Ruiz-Bustillo, Sonia
Verdú-Rotellar, José María
Comín Colet, Josep
author Farré López, Núria
author_facet Farré López, Núria
Vela, Emili
Clèries, Montse
Bustins, Montse
Cainzos-Achirica, Miguel
Enjuanes Grau, Cristina
Moliner Borja, Pedro
Ruiz-Bustillo, Sonia
Verdú-Rotellar, José María
Comín Colet, Josep
author_role author
author2 Vela, Emili
Clèries, Montse
Bustins, Montse
Cainzos-Achirica, Miguel
Enjuanes Grau, Cristina
Moliner Borja, Pedro
Ruiz-Bustillo, Sonia
Verdú-Rotellar, José María
Comín Colet, Josep
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Infart de miocardi
topic Infart de miocardi
description AIMS: Heart failure (HF) is one of the diseases with greater healthcare expenditure. However, little is known about the cost of HF at a population level. Hence, our aim was to study the population-level distribution and predictors of healthcare expenditure in patients with HF. METHODS AND RESULTS: This was a population-based longitudinal study including all prevalent HF cases in Catalonia (Spain) on 31 December 2012 (n = 88 195). We evaluated 1-year healthcare resource use and expenditure using the Health Department (CatSalut) surveillance system that collects detailed information on healthcare usage for the entire population. Mean age was 77.4 (12) years; 55% were women. One-year mortality rate was 14%. All-cause emergency department visits and unplanned hospitalizations were required at least once in 53.4% and 30.8% of patients, respectively. During 2013, a total of €536.2 million were spent in the care of HF patients (7.1% of the total healthcare budget). The main source of expenditure was hospitalization (39% of the total) whereas outpatient care represented 20% of the total expenditure. In the general population, outpatient care and hospitalization were the main expenses. In multivariate analysis, younger age, higher presence of co-morbidities, and a recent HF or all-cause hospitalization were independently associated with higher healthcare expenditure. CONCLUSIONS: In Catalonia, a large portion of the annual healthcare budget is devoted to HF patients. Unplanned hospitalization represents the main source of healthcare-related expenditure. The knowledge of how expenditure is distributed in a non-selected HF population might allow health providers to plan the distribution of resources in patients with HF.
publishDate 2016
dc.date.none.fl_str_mv 2016
2016
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/27316
http://dx.doi.org/10.1002/ejhf.549
url http://hdl.handle.net/10230/27316
http://dx.doi.org/10.1002/ejhf.549
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv European Journal of Heart Failure. 2016 Sep;18(9):1132-40
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869411748345282560
score 15.81155

Similares en LA Referencia