NDLI: Comprehensive Cardiac Care: How Much Does It Cost?

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Comprehensive Cardiac Care: How Much Does It Cost?

Content Provider	Europe PMC
Author	Kubielas, Grzegorz Diakowska, Dorota Czapla, Michał Uchmanowicz, Bartosz Berezowski, Jakub Uchmanowicz, Izabella
Editor	Kern, Adam Tchounwou, Paul B.
Copyright Year	2023
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.
ISSN	16617827
Journal	International Journal of Environmental Research and Public Health [Int J Environ Res Public Health]
Volume Number	20
DOI	10.3390/ijerph20064980
PubMed Central reference number	PMC10049416
Issue Number	6
PubMed reference number	36981889
e-ISSN	16604601
Language	English
Publisher	Molecular Diversity Preservation International (MDPI)
Publisher Date	2023-03-11
Access Restriction	Open
Subject Keyword	cardiac rehabilitation comprehensive cardiac care myocardial infarction secondary prevention CCMI model myocadiac infarction
Content Type	Text
Resource Type	Article
Subject	Health, Toxicology and Mutagenesis Pollution Public Health, Environmental and Occupational Health

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Comprehensive Cardiac Care: How Much Does It Cost?

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