Cost Analysis of Health Examination Screening Program for Ischemic Heart Disease in Active-Duty Military Personnel in the Middle-Income Country

Frontiers in Public Health

Milena Pandrc¹  Radoje Simic²  Zorica Savkovic³  Mihajlo Jakovljevic⁴  Vitomir Peric⁵  Nemanja Rancic⁶  Viktorija Dragojevic Simic⁶  Nenad Ratkovic⁷ 

[1] Clinic for Cardiology, Military Medical Academy, Belgrade, Serbia;Department for Plastic Surgery, Institute for Mother and Child Health Care of Serbia Dr. Vukan Cupic, Belgrade, Serbia;Faculty of Medicine, University of Belgrade, Belgrade, Serbia;Faculty of Special Education and Rehabilitation, University of Belgrade, Belgrade, Serbia;Institute of Comparative Economic Studies, Hosei University, Tokyo, Japan;Department of Global Health Economics and Policy, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia;Medical Faculty of the Military Medical Academy, University of Defence in Belgrade, Belgrade, Serbia;Medical Faculty of the Military Medical Academy, University of Defence in Belgrade, Belgrade, Serbia;Center for Clinical Pharmacology, Military Medical Academy, Belgrade, Serbia;Medical Faculty of the Military Medical Academy, University of Defence in Belgrade, Belgrade, Serbia;Sector for Treatment, Military Medical Academy, Belgrade, Serbia;

关键词: cardiovascular diseases;    ischemic heart disease;    arterial hypertension;    military personnel;    primary prevention;    healthcare costs;    middle-income country;    Serbia;   

DOI  :  10.3389/fpubh.2021.634778

来源: Frontiers

【 摘 要 】

Cardiovascular diseases, including ischemic heart disease, are the most common causes of morbidity and death in the world, including Serbia, as a middle-income European country. The aim of the study was to determine the costs of preventive examinations for ischemic heart disease in active-duty military personnel, as well as to assess whether this was justified from the point of view of the limited health resources allocated for the treatment of the Republic of Serbia population. This is a retrospective cost-preventive study which included 738 male active-duty military personnel, aged from 23 to 58. The costs of primary prevention of ischemic heart disease in this population were investigated. Out of 738 subjects examined, arterial hypertension was detected in 101 subjects (in 74 of them, arterial hypertension was registered for the first time, while 27 subjects were already subjected to pharmacotherapy for arterial hypertension). Average costs of all services during the periodic-health-examination screening program were €76.96 per subject. However, average costs of all services during the periodic-health-examination screening program for patients with newfound arterial hypertension and poorly regulated arterial hypertension were €767.54 per patient and €2,103.63 per patient, respectively. Since periodic-health-examination screening program in military personnel enabled not only discovery of patient with newfound arterial hypertension but also regular monitoring of those who are already on antihypertensive therapy, significant savings of €690.58 per patient and €2,026.67 per patient can be achieved, respectively. As financial resources for providing health care in Serbia, as a middle-income country, are limited, further efforts should be put on screening programs for ischemic heart disease due to possible significant savings.

【 授权许可】

CC BY