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Rev Esp Cardiol (Engl Ed). 2014 Aug;67(8):643-50. doi: 10.1016/j.rec.2013.12.014. Epub 2014 May 10.

Health care and nonhealth care costs in the treatment of patients with symptomatic chronic heart failure in Spain.

Author information

1
Servicio de Cardiología, Hospital Universitario 12 de Octubre, Madrid, Spain. Electronic address: juan.delgado@salud.madrid.org.
2
Departamento de Análisis Económico y Finanzas, Universidad de Castilla-La Mancha, Toledo, Spain; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Spain.
3
Servicio de Cardiología, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, Spain.
4
Servicio de Cardiología, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain.
5
Servicio de Cardiología, Hospital Universitario Nuestra Señora de Candelaria, Sta. Cruz de Tenerife, Spain.
6
Servicio de Cardiología, Hospital del Mar, Barcelona, Spain.
7
Servicio de Cardiología, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain.
8
Servicio de Cardiología, Hospital Infanta Cristina, Badajoz, Spain.
9
Medtronic Ibérica, Spain.
10
Departamento de Análisis Económico y Finanzas, Universidad de Castilla-La Mancha, Toledo, Spain.

Abstract

INTRODUCTION AND OBJECTIVES:

Chronic heart failure is associated with high mortality and utilization of health care and social resources. The objective of this study was to quantify the use of health care and nonhealth care resources and identify variables that help to explain variability in their costs in Spain.

METHODS:

This prospective, multicenter, observational study with a 12-month follow-up period included 374 patients with symptomatic heart failure recruited from specialized cardiology clinics. Information was collected on the socioeconomic characteristics of patients and caregivers, health status, health care resources, and professional and nonprofessional caregiving. The monetary cost of the resources used in caring for the health of these patients was evaluated, differentiating among functional classes.

RESULTS:

The estimated total cost for the 1-year follow-up ranged from € 12,995 to € 18,220, depending on the scenario chosen (base year, 2010). The largest cost item was informal caregiving (59.1%-69.8% of the total cost), followed by health care costs (26.7%- 37.4%), and professional care (3.5%). Of the total health care costs, the largest item corresponded to hospital costs, followed by medication. Total costs differed significantly between patients in functional class II and those in classes III or IV.

CONCLUSIONS:

Heart failure is a disease that requires the mobilization of a considerable amount of resources. The largest item corresponds to informal care. Both health care and nonhealth care costs are higher in the population with more advanced disease.

KEYWORDS:

Chronic heart failure; Coste sanitario; Coste social; Health care costs; Insuficiencia cardiaca crónica; Social costs

PMID:
25037543
DOI:
10.1016/j.rec.2013.12.014
[Indexed for MEDLINE]
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