Societal Cost of Ischemic Stroke in Romania: Results from a Retrospective County-Level Study
| العنوان: | Societal Cost of Ischemic Stroke in Romania: Results from a Retrospective County-Level Study |
|---|---|
| المؤلفون: | Anca Dana Buzoianu, Stefan Strilciuc, Adina Stan, Cristian Vladescu, Vlad Mixich, Mihaela Adela Vintan, Diana Alecsandra Grad |
| المصدر: | Brain Sciences, Vol 11, Iss 689, p 689 (2021) Brain Sciences Brain Sciences; Volume 11; Issue 6; Pages: 689 |
| بيانات النشر: | MDPI AG, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Total cost, Neurosciences. Biological psychiatry. Neuropsychiatry, cost of stroke, societal perspective, first-ever stroke, Article, 03 medical and health sciences, Indirect costs, 0302 clinical medicine, Acute care, Health care, Medicine, media_common.cataloged_instance, 030212 general & internal medicine, European union, Activity-based costing, Stroke, Average cost, media_common, business.industry, General Neuroscience, medicine.disease, Emergency medicine, business, 030217 neurology & neurosurgery, RC321-571 |
| الوصف: | Background: Health policies in transitioning health systems are rarely informed by the economic burden of disease due to scanty access to data. This study aimed to estimate direct and indirect costs for first-ever acute ischemic stroke (AIS) during the first year for patients residing in Cluj, Romania, and hospitalized in 2019 at the County Emergency Hospital (CEH). Methods: The study was conducted using a mixed, retrospective costing methodology from a societal perspective to measure the cost of first-ever AIS in the first year after onset. Patient pathways for AIS were reconstructed to aid in mapping inpatient and outpatient cost items. We used anonymized administrative and clinical data at the hospital level and publicly available databases. Results: The average cost per patient in the first year after stroke onset was RON 25,297.83 (EUR 5226.82), out of which 80.87% were direct costs. The total cost in Cluj, Romania in 2019 was RON 17,455,502.7 (EUR 3,606,505.8). Conclusions: Our costing exercise uncovered shortcomings of stroke management in Romania, particularly related to acute care and neurorehabilitation service provision. Romania spends significantly less on healthcare than other countries (5.5% of GDP vs. 9.8% European Union average), exposing stroke survivors to a disproportionately high risk for preventable and treatable post-stroke disability. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 2076-3425 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::65c561924ccc000f11eb5b4efc82b9c5Test https://www.mdpi.com/2076-3425/11/6/689Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....65c561924ccc000f11eb5b4efc82b9c5 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20763425 |
|---|