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Cost of Asthma Care at Prankratai Hospital

บัลลังก์ อุปพงษ์; Ballang Uppapong;
Date: 2550
Abstract
Asthma is an ambulatory care-sensitive condition (ACSC). With effective ambulatory care, this condition need not necessitate hospital admission. Avoiding disease exacerbation and hospital admission of asthma sufferers can save health-care costs and improve the quality of life of those affected. This study was aimed at determining the cost of asthma treatment, either outpatient or inpatient, in order to obtain basic information for asthma administration in the hospital. This was a retrospective and descriptive study using a prevalence-based approach. The cost was calculated by a bottom-up method from a provider’s perspective. Those eligible to participate in the study were either outpatient or inpatient asthmatics at Prankratai Hospital, a 60-bed community hospital. Occurrences of asthma were identified using the International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10) codes J45 and J46. The data were collected from an electronic database. The cost of treating asthma consisted of nebulization (28.85%), medication (26.28%), hospitalization (25.76%), outpatient visit (14.64%), oxygen therapy (2.97%), and x-ray (1.50%). The average cost was 1,424.19 baht per patient per year. The average cost of outpatient and inpatient treatment was 742 and 3,580 baht per patient per year, respectively. During the study period, one-fifth of the asthmatic patients were admitted, but accounted for about half of the total cost of all treatment. Hospitalization comprised a considerable cost for treating asthma. To improve asthma management and control, hospital administrators should establish simple asthma clinics, develop guidelines, and encourage greater participation in asthma care by a broader range of health-care professionals and not just doctors. Such initiatives are predictably likely to decrease admission rates and the burden on health-care costs.
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
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