Cost-effectiveness of the antihypertensive treatment in patients of 2 health areas from Santiago de Cuba municipality in 2013
Keywords:
hypertension, economic evaluation, cost-effectiveness, antihypertensive treatment, primary health care.Abstract
An evaluation study to determine the economic efficiency of the antihypertensive treatment in patients over 15 years from both sexes, belonging to 2 health areas of the municipality of Santiago de Cuba was carried out in 2013 from the social and institutional perspectives. By means of a non probabilistic sampling a sample of 700 members was chosen and the direct, indirect and totals costs for each therapeutic alternative were considered. The measure of effectiveness was based on the cost - effectiveness and increasing effectiveness reasons. From the mentioned perspectives, the average cost of the hypertensive patient assistance in “Julián Grimau García” University Polyclinic was higher than that of “Dr. Carlos J. Finlay” polyclinic, because in the first one the secondary health care was more expensive in comparison with the second. In the "Julián Grimau García" health area was possible to be more efficient in the control of hypertension, either in the average or increasing costs. The higher effectiveness compensated the additional cost, mainly from the institutional point of view.
Downloads
References
2. Soto Cáceres V. Prevalencia de hipertensión arterial en la ciudad de Chiclayo en el 2010: estudio poblacional. Bol Soc Peruana Med Intern. 2001 [citado 2 Ene 2015];14(3). Disponible en: Disponible en: http://sisbib.unmsm.edu.pe/bvrevistas/spmi/v14n3/prev_hipert.htm
3. Parra Carrillo JZ, Verdejo Paris J, Lemus Carmona EA, Saucedo Sánchez N. Costo-efectividad del tratamiento farmacológico de la hipertensión arterial sistémica. Rev Mex Cardiol. 2009;20(3):141-9.
4. Landrove Rodríguez O. Acciones del Programa Nacional de Prevención y Control de Hipertensión Arterial. La Habana: Ministerio de Salud Pública; 2009.
5. Groning Roque E, García Fernández R, García Barreto D. Control ambulatorio de la presión arterial en pacientes blancos y negros con cardiopatía isquémica asociada. Rev Cubana Med. 2009 [citado 7 Abr 2015];48(4):193-203. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75232009000400007
6. García Fariñas A, Rodríguez Salvá A, Marine Alonso MA, Pol de Vos, Van der Stuyfs P. Gastos asumidos por la familia durante el ingreso en el hogar. Rev Cubana Salud Pública. 2008 [citado 7 Abr 2016];34(2). Disponible en: http://www.bvs.sld.cu/revistas/spu/vol34_2_08/spu07208.htm
7. Plans Rubió P, Tresserras Gaju R, Navas Alcalá E, Pardell Alentá H. Estudio de coste-efectividad del tratamiento de la hipertensión arterial en Cataluña. Med Clin (Barc). 2002;118:211-6.
8. Cuba. Ministerio de Salud Pública. III Encuesta Nacional de factores de riesgo y actividades preventivas de enfermedades no transmisibles. Cuba 2010-2011. La Habana: MINSAP; 2014.
9. Achiong Estupiñán F, Lauzurica González A, Morales Rigau JM, Achiong Alemañy F. Hipertenso controlado ¿Socialismo o capitalismo? Rev Med Electrón. 2009 [citado 26 Mar 2015];31(2). Disponible en:
http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242009000200007
10. Morales Rigau JM, Achiong F, Rodríguez O, Landrove O, Gómez A. Control de la hipertensión arterial. Provincia de Matanzas. Rev Med Electrón. 2003 [citado 26 Mar 2015];25(3). Disponible en http://www.revmatanzas.sld.cu/revista%20medica/ano%202003/vol3%202003/tema01.htm
11. Tabares Silverio Y, Fernández García A, Castillo Abreu D. Costo institucional de la crisis hipertensiva en el Policlínico “Antonio Maceo”. Rev Cubana Med Gen Integr. 2011 [citado 7 Feb 2015];27(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252011000200004
12. Organización Panamericana de la Salud, Organización Mundial de la Salud. Estado de salud en las Américas. La Habana: OPS/OMS; 2012.
13. Velázquez Monroy O. Hipertensión arterial en México: resultados de la Encuesta Nacional de Salud (ENSA), 2000. Arch Cardiol Méx. 2002;72:71-84.
14.Cutler JA, Sorlie PD, Wolz M, Thom T, Fields LE, Roccella EJ. Trends in hypertension prevalence, awareness, treatment, and control rates in United States adults between 1988-1994 and 1999-2004. Hypertension.2008;52(5):818-27.
Published
How to Cite
Issue
Section
License
All the articles can be downloaded or read for free. The journal does not charge any amount of money to the authors for the reception, edition or the publication of the articles, making the whole process completely free. Medisan has no embargo period and it is published under the license of Creative Commons, International Non Commercial Recognition 4.0, which authorizes the copy, reproduction and the total or partial distribution of the articles in any format or platform, with the conditions of citing the source of information and not to be used for profitable purposes.