Direct hospitalisation cost of patients with chronic obstructive pulmonary disease, covered by the National Health Insurance at Vinh Phuc General Hospital from 2015 to 2019

Authors

  • Nguyen Viet Phu
  • Nguyen Thi Mai Phuong
  • Dang Huu Duc
  • Vuong Trong Hieu
  • Tran Thi Hang
  • Nguyen Thien Phong
  • Le Hong Phuc
  • Pham Nu Hanh Van*

Abstract

Chronic obstructive pulmonary disease (COPD) is a treatable disease with high prevalence and morbidity, associated with a significant economic burden. This study aimed to investigate the direct hospitalisation costs of patients with COPD covered by the National Health Insurance (NHI) in Vietnam. A retrospective study was conducted at Vinh Phuc General Hospital from 2015 to 2019, involving 1,629 patients. Sociodemographic features, clinical characteristics, and hospitalisation costs were collected. A multivariate generalised linear regression model was used to identify factors associated with hospitalisation costs. The mean total hospitalisation cost per patient was 430.74 USD (SD=618.39). Medication costs accounted for the highest proportion, followed by bed-day, procedures, function tests, imaging diagnosis, functional exploration, examination, and medical supplies. Antibiotics had the highest medication cost, at 99.37 USD (SD=126.24). The average number of hospitalisation days was 10.1, closely related to the direct cost. Age and comorbidities also affected hospitalisation costs.

Keywords:

chronic obstructive pulmonary disease, cost, hospitalisation cost, Vinh Phuc General Hospital

DOI:

https://doi.org/10.31276/VJSTE.2023.0009

Classification number

1.3, 3.2

Author Biographies

Nguyen Viet Phu

Vinh Phuc General Hospital, 1 Ton That Tung Street, Lien Bao Ward, Vinh Yen City, Vinh Phuc Province, Vietnam

Hanoi University of Pharmacy, 13-15 Le Thanh Tong Street, Phan Chu Trinh Ward, Hoan Kiem District, Hanoi, Vietnam

Nguyen Thi Mai Phuong

Health Strategy and Policy Institute, 196 Ho Tung Mau Street, Mai Dich Ward, Cau Giay District, Hanoi, Vietnam

Dang Huu Duc

Hanoi University of Pharmacy, 13-15 Le Thanh Tong Street, Phan Chu Trinh Ward, Hoan Kiem District, Hanoi, Vietnam

Vuong Trong Hieu

Hanoi University of Pharmacy, 13-15 Le Thanh Tong Street, Phan Chu Trinh Ward, Hoan Kiem District, Hanoi, Vietnam

Tran Thi Hang

Vinh Phuc General Hospital, 1 Ton That Tung Street, Lien Bao Ward, Vinh Yen City, Vinh Phuc Province, Vietnam

Nguyen Thien Phong

Hanoi University of Pharmacy, 13-15 Le Thanh Tong Street, Phan Chu Trinh Ward, Hoan Kiem District, Hanoi, Vietnam

Le Hong Phuc

Cleveland Clinic, 9500 Euclid Avenue, Cleveland, Ohio, The United States of America

Pham Nu Hanh Van

Hanoi University of Pharmacy, 13-15 Le Thanh Tong Street, Phan Chu Trinh Ward, Hoan Kiem District, Hanoi, Vietnam

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Published

2024-12-15

Received 14 February 2023; revised 13 April 2023; accepted 25 April 2024

How to Cite

Nguyen Viet Phu, Nguyen Thi Mai Phuong, Dang Huu Duc, Vuong Trong Hieu, Tran Thi Hang, Nguyen Thien Phong, Le Hong Phuc, & Pham Nu Hanh Van. (2024). Direct hospitalisation cost of patients with chronic obstructive pulmonary disease, covered by the National Health Insurance at Vinh Phuc General Hospital from 2015 to 2019. Vietnam Journal of Science, Technology and Engineering, 66(4), 22-28. https://doi.org/10.31276/VJSTE.2023.0009

Issue

Section

Mathematics and Computer Science