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Cost Effectiveness Analysis: Small Country Pediatric Cardiac Surgery Program Development

Το τεκμήριο παρέχεται από τον φορέα :
Ίδρυμα Καλαγκός (Παγκόσμιο Φόρουμ για την Ανθρωπιστική Ιατρική στην Καρδιολογία και την Καρδιοχειρουργική (GFHM))   

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Journal of Humanitarian Cardiovascular Medicine  | ΕΚΤ eJournals   

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Cost Effectiveness Analysis: Small Country Pediatric Cardiac Surgery Program Development (EN)
Novick, William
Chadikovski, Vladimir
Cardarelli, Marcelo
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
2022-06-24
Abstract Background The cost-effectiveness of sending children abroad for treatment of their congenital heart disease (CHD) in small population countries versus developing a local program should be carefully considered. We investigated the cost-effectiveness analysis of developing such program in a small Eastern-European country. Methods Calculated costs during different stages in the development of a program in North Macedonia were obtained from the Ministry of Health. All patients diagnosed and surgically treated between 2010 and 2017 were included along 3 distinctive periods. 2010-2012 - Outsourcing (All patients sent abroad for surgical treatment) 2013-2016 - Foundational (Program development with assistance from a global charity organization) 2017 - Tutelage Period (Semi-Independent program) Cost-Effectiveness is provided in US$ per Disability Adjusted Life Years (DALY) as unit of health value. Results Between January 2010 and December 2017, a total of 384 patients diagnosed with CHD underwent surgical treatment at government expense. The breakdown was: 125; 204 and 55 patients in each period.The cost-effectiveness of the intervention was $315; $297 and $251 per DALY averted respectively. Conclusions Surgical treatment of patients born with CHD is a highly cost-effective intervention irrespective of the approach taken. Even after accounting for the initial capital investment costs, the development of a local pediatric cardiac surgery program seems to be slightly more cost-effective than outsourcing. (EN)
Pediatric Cardiac Surgery (EN)
Outsourcing Healthcare (EN)
Cost-Effectiveness analysis, (EN)
Humanitarian Surgery (EN)
Αγγλική γλώσσα
Kalangos Foundation (EN)
2944-943X
2944-9782
Journal of Humanitarian Cardiovascular Medicine; Vol. 1 No. 1 (2022): 1st Issue (EN)
https://creativecommons.org/licenses/by-nc-sa/4.0/
Copyright (c) 2022 Journal of Humanitarian Cardio Vascular Medicine (EN)
Ίδρυμα Καλαγκός (Παγκόσμιο Φόρουμ για την Ανθρωπιστική Ιατρική στην Καρδιολογία και την Καρδιοχειρουργική (GFHM))
Journal of Humanitarian Cardiovascular Medicine
Articles



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