Syreon Research Romania, Tirgu Mures, Romania.
G. E. Palade University of Medicine, Pharmacy, Science and Technology, Tirgu Mures, Romania.
Front Public Health. 2020 Dec 4;8:605919. doi: 10.3389/fpubh.2020.605919. eCollection 2020.
Stroke is the second leading cause of death worldwide and Romania is no exception. There is a high economic burden associated with the treatment of stroke patients, which puts pressure on the healthcare budget. This study aims to measure the inpatient treatment costs of stroke patients in Romania. Our retrospective analysis follows stroke patients in six Romanian hospitals at different progressivity level from different regions. Patients are identified from the official hospital databases, reported for reimbursement purposes. Mean inpatient costs incurred with the treatment of these stroke patient episodes are calculated using the gross costing method. The cost data are derived from the management control system of the study hospitals. 3,155 patient episodes of stroke were identified in the study hospitals. The average cost per stroke inpatient care episode sums up to EUR 995.57 (95% CI: EUR 963.74-EUR 1 027.39) in 2017, while the overall yearly healthcare burden adds up to EUR 140 million, representing 2.18% of the total national health insurance budget and a cost of EUR 7.15 per capita. The hospital cost of stroke inpatient care episode in Romania is high and it represents a sizable part of the healthcare budget, but it is among the lowest in Europe, which can mainly be explained by the level of economic development of the country. As both the number of patients and the cost of acute care are expected to increase in the future, the economic burden of stroke is also expected to increase.
脑卒中是全球第二大致死原因，罗马尼亚也不例外。治疗脑卒中患者会带来高昂的经济负担，给医疗保健预算带来压力。本研究旨在衡量罗马尼亚脑卒中患者的住院治疗费用。我们对来自不同地区、不同进展程度的 6 家罗马尼亚医院的脑卒中患者进行了回顾性分析。患者是从医院的官方数据库中识别出来的，为了报销目的而报告。使用总成本法计算这些脑卒中患者住院治疗的平均住院费用。成本数据来自研究医院的管理控制系统。本研究共纳入了 3155 例脑卒中患者。2017 年，每位脑卒中患者的平均住院费用为 995.57 欧元（95%置信区间：963.74-1027.39 欧元），而整体年度医疗保健负担总计为 1.4 亿欧元，占全国健康保险预算的 2.18%，人均成本为 7.15 欧元。罗马尼亚脑卒中患者的住院治疗费用较高，占医疗保健预算的很大一部分，但在欧洲处于较低水平，这主要可以归因于该国的经济发展水平。由于未来预计患者人数和急性治疗费用都会增加，因此脑卒中的经济负担也预计会增加。
