Cost analysis of breast cancer: a comparison between private and public hospitals in Iran

BMC Health Services Research

Habib Jalilian¹  Abdolhosein Emami Sigaroudi²  Abolghasem Pourreza³  Somayeh Heydari⁴  Abolhasan Afkar⁵  Habibeh Mir⁶ 

[1] Assistant Professor, Department of Health Services Management, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran;Social Determinants of Health Research Center, Ahvaz Jundishapour University of Medical Sciences, Ahvaz, Iran;Cardiovascular Diseases Research Center, Department of Cardiology, School of Medicine, Heshmat Hospital, Guilan University of Medical Sciences, Rasht, Iran;Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran;School of Public Health, Guilan University of Medical Science, PO Box: 3391, Rasht, Iran;Social Determinants of Health Research Center, School of Health, Guilan University of Medical Sciences, Rasht, Iran;Student Research Committee, School of Management and Medical Informatics, Iran University of Medical Sciences, Tehran, Iran;

关键词: Breast cancer;    Burden of disease;    Direct costs;    Indirect costs;    Cost of illness;   

DOI  :  10.1186/s12913-021-06136-6

来源: Springer

【 摘 要 】

BackgroundsBreast cancer is the most prevalent cancer among women. Breast cancer imposes a considerable economic burden on the health system. This study aimed to compare the cost of breast cancer among patients who referred to private and public hospitals in Iran (2017).MethodsThis was a prevalence-based cost of illness study. A total of 179 patients were selected from private and public hospitals using the census method. The researcher-constructed checklist was used for data collection. Data were analyzed using SPSS software version 22.ResultsThe estimated total mean (SD) direct cost of patients who referred to the private hospital and the public hospital was $10,050 (19,480) and $3960 (6780), respectively. Further, the total mean indirect cost of patients who referred to the private hospital was lower than those referring to the public hospital at $1870 (15 % of total costs) and $22,350 (85 % of total costs), respectively. These differences were statistically significant (P < 0.05).ConclusionsBreast cancer imposes a substantial cost on patients, health insurance organizations and the whole society in Iran. Therefore, the adoption of effective measures for the prevention and early diagnosis of breast cancer is urgently needed.

【 授权许可】

CC BY