کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4208998 1280469 2008 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Evolution of costs of care for cystic fibrosis patients after clinical guidelines implementation in a French network
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی ریوی و تنفسی
پیش نمایش صفحه اول مقاله
Evolution of costs of care for cystic fibrosis patients after clinical guidelines implementation in a French network
چکیده انگلیسی

ObjectivesThe aim of this study was to evaluate how advances in CF management in France between 2000 and 2003 impacted CF-related costs.MethodsThe analysis of direct medical costs was done in 2000 and 2003 from the perspective of the French national healthcare insurance system. The patients, 65 in 2000 and 64 in 2003, were followed-up in one pediatric and one adult CF reference center (CFRC). We quantified and valued CF-related home and hospital care costs.ResultsWe found an average cost of €16 474/patient/year in 2000, and €22 725 in 2003 (based on the 2003 euro value). Hospital care increased from 15% of the total cost in 2000 to 22% in 2003. Medications accounted for 45% of the total cost for the two periods, with an average cost of €7229/patient/year in 2000 and €10 336 in 2003. Home intravenous antibiotic therapy accounted for 20% of the total cost for the two periods.ConclusionsWe highlighted an increase in CF care costs between 2000 and 2003, which might be related to the changes in practice patterns that followed guidelines implementation, such as the use of new medications (dornase alpha and tobramycin) and more frequent follow-up in the CFRC.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Cystic Fibrosis - Volume 7, Issue 5, September 2008, Pages 403–408
نویسندگان
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