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Cost of poor adherence to anti-hypertensive therapy in five European countries

Author

Listed:
  • F.S. Mennini
  • A. Marcellusi
  • J.M. Graf von Der Schulenburg
  • A. Gray
  • Pierre Lévy

    (Legos - Laboratoire d'Economie et de Gestion des Organisations de Santé - Université Paris Dauphine-PSL - PSL - Université Paris sciences et lettres, LEDa - Laboratoire d'Economie de Dauphine - IRD - Institut de Recherche pour le Développement - Université Paris Dauphine-PSL - PSL - Université Paris sciences et lettres - CNRS - Centre National de la Recherche Scientifique)

  • P. Sciattella
  • M. Soro
  • G. Staffiero
  • J. Zeidler
  • A. Maggioni
  • R. E. Schmieder

Abstract

The financial burden for EU health systems associated with cardiovascular disease (CV) has been estimated to be nearly €110 billion in 2006, corresponding to 10 % of total healthcare expenditure across EU or a mean €223 annual cost per capita. The main purpose of this study is to estimate the costs related to hypertension and the economic impact of increasing adherence to anti-hypertensive therapy in five European countries (Italy, Germany, France, Spain and England). A probabilistic prevalence-based decision tree model was developed to estimate the direct costs of CV related to hypertension (CV defined as: stroke, heart attack, heart failure) in five European countries. Our model considered adherence to hypertension treatment as a main driver of blood pressure (BP) control (BP

Suggested Citation

  • F.S. Mennini & A. Marcellusi & J.M. Graf von Der Schulenburg & A. Gray & Pierre Lévy & P. Sciattella & M. Soro & G. Staffiero & J. Zeidler & A. Maggioni & R. E. Schmieder, 2015. "Cost of poor adherence to anti-hypertensive therapy in five European countries," Post-Print hal-01616348, HAL.
  • Handle: RePEc:hal:journl:hal-01616348
    DOI: 10.1007/s10198-013-0554-4
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    Cited by:

    1. Zijing Pan & Wanchun Xu & Zhong Li & Chengzhong Xu & Fangfang Lu & Pei Zhang & Liang Zhang & Ting Ye, 2020. "Trajectories of Outpatient Service Utilisation of Hypertensive Patients in Tertiary Hospitals in China," IJERPH, MDPI, vol. 17(3), pages 1-15, January.
    2. Maria Teresa Greco & Antonio Giampiero Russo, 2017. "Valutazione del modello CREG utilizzato dalla ATS della Citt? Metropolitana di Milano per la gestione delle malattie croniche nella medicina generale," MECOSAN, FrancoAngeli Editore, vol. 2017(101), pages 31-50.
    3. Klaus Mann & Michael Möcker & Joachim Grosser, 2019. "Adherence to long-term prophylactic treatment: microeconomic analysis of patients’ behavior and the impact of financial incentives," Health Economics Review, Springer, vol. 9(1), pages 1-10, December.

    More about this item

    Keywords

    Hypertension; Hypertensive therapy; Cost of illness; Adherence; Economic burden;
    All these keywords.

    JEL classification:

    • H00 - Public Economics - - General - - - General

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