NGHIÊN CỨU CHI PHÍ TRỰC TIẾP Y TẾ Ở BỆNH NHÂN HEN PHẾ QUẢN ĐIỀU TRỊ NỘI TRÚ CÓ BẢO HIỂM Y TẾ TẠI BỆNH VIỆN LAO VÀ BỆNH PHỔI THÀNH PHỐ CẦN THƠ NĂM 2020 - 2021

Abstract

Objectives: To determine the cost and structure of direct medical costs in the inpatient asthma treatment course and learn some factors related to the costs and structure of direct medical costs during the treatment period with Health Insurance. Subjects and methods: A analytical descriptive study on 80 asthma inpatient medical records at Can Tho Tuberculosis and Lung Disease Hospital from June 2020 to June 2021. Results: Cost and cost structure of inpatient asthma treatment: the average cost/person/treatment session is VND 5,133,123. The majority of expenses are hospital beds (48.89%) and drugs (33.43%); in drug costs, the total cost of corticosteroids, bronchodilators, and antibiotics accounted for 76.54%. Health insurance costs accounted for 85.11%, and costs for patients accounted for 14.89%. Factors related to direct medical costs and structure include the number of days of treatment and the amount covered by health insurance. Conclusion: The cost and structure of direct medical costs in inpatient asthma treatment account for the majority of hospital bed costs. Long-term treatment, increasing the financial burden for patients, is inevitable if asthma attacks are well controlled.