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Comprehensive Cardiac Care: How Much Does It Cost?

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  • Grzegorz Kubielas

    (Department of Nursing and Obstetrics, Faculty of Health Sciences, Wroclaw Medical University, 51-618 Wroclaw, Poland
    Department of Health Care Services, Polish National Health Fund, Central Office in Warsaw, 02-528 Warsaw, Poland)

  • Dorota Diakowska

    (Department of Basic Sciences, Faculty of Health Sciences, Wroclaw Medical University, 50-367 Wroclaw, Poland)

  • Michał Czapla

    (Department of Emergency Medical Service, Faculty of Health Sciences, Wroclaw Medical University, 51-616 Wroclaw, Poland
    Institute of Heart Diseases, University Hospital, 50-566 Wroclaw, Poland
    Group of Research in Care (GRUPAC), Faculty of Health Science, University of La Rioja, 26006 Logrono, Spain)

  • Bartosz Uchmanowicz

    (Department of Nursing and Obstetrics, Faculty of Health Sciences, Wroclaw Medical University, 51-618 Wroclaw, Poland)

  • Jakub Berezowski

    (University Hospital, 50-566 Wroclaw, Poland)

  • Izabella Uchmanowicz

    (Department of Nursing and Obstetrics, Faculty of Health Sciences, Wroclaw Medical University, 51-618 Wroclaw, Poland
    Institute of Heart Diseases, University Hospital, 50-566 Wroclaw, Poland)

Abstract

The benefits of coordinating care between healthcare professionals and institutions are the main drivers behind reforms to the payment and delivery system for healthcare services. The purpose of this study was to analyse the costs incurred by the National Health Fund in Poland related to the comprehensive care model for patients after myocardial infarction (CCMI, in Polish: KOS-Zawał). Methods: The analysis involved data from 1 October 2017 to 31 March 2020 for 263,619 patients who received treatment after a diagnosis of first or recurrent myocardial infarction as well as data for 26,457 patients treated during that period under the CCMI programme. Results: The average costs of treating patients covered by the full scope of comprehensive care and cardiac rehabilitation under the programme (EUR 3113.74/person) were higher than the costs of treating patients outside of that programme (EUR 2238.08/person). At the same time, a survival analysis revealed a statistically significantly lower probability of death ( p < 0.0001) in the group of patients covered by CCMI compared to the group not covered by the programme. Conclusions: The coordinated care programme introduced for patients after myocardial infarction is more expensive than the care for patients who do not participate in the programme. Patients covered by the programme were more often hospitalised, which might have been due to the good coordination between specialists and responses to sudden changes in patients’ conditions.

Suggested Citation

  • Grzegorz Kubielas & Dorota Diakowska & Michał Czapla & Bartosz Uchmanowicz & Jakub Berezowski & Izabella Uchmanowicz, 2023. "Comprehensive Cardiac Care: How Much Does It Cost?," IJERPH, MDPI, vol. 20(6), pages 1-9, March.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:6:p:4980-:d:1094778
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    1. Les Mayhew, 2009. "On the effectiveness of care co-ordination services aimed at preventing hospital admissions and emergency attendances," Health Care Management Science, Springer, vol. 12(3), pages 269-284, September.
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