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Indirect costs of acute myocardial infarction in Portugal
Session:
Posters 5 - Écran 10 - Economia na Saúde / Saúde Pública
Speaker:
Ana Teresa Timóteo
Congress:
CPC 2019
Topic:
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
Theme:
34. Public Health and Health Economics
Subtheme:
34.3 Health Economics
Session Type:
Posters
FP Number:
---
Authors:
Ana Teresa Timóteo; Miguel Gouveia; cristina soares; Rui Cruz Ferreira
Abstract
<p>Introduction: Cardiovascular diseases are the main cause of death in Portugal. The high incidence of acute myocardial infarction (AMI) is also a major problem, particularly due to the economic burden caused by productivity loss (indirect costs) associated with temporary absence from work, not yet sufficiently studied in Portugal. It was our objective to quantify indirect costs of AMI in the first year after admission.</p> <p>Methods: All consecutive patients admitted in a single center with < 66 years (official retirement age) during the year 2017 that survived to discharge were included in the present study. Employment status on admission was assessed in every patient. In each employed patient, working at the time of admission, the monthly wage was estimated from market wage rates from national public sources (grossed up by social security contributions) according to gender and age. A day-cost was calculated to assess the cost of temporary absence from work. The duration of temporary absence from work was assessed by a follow-up contact at 30-day and up to one-year after admission in a follow-up evaluation. The total cost of temporary absence from work was calculated in this sample and results were applied for the total number of AMI in Portugal during the year 2016 (last available national data).</p> <p>Results: We included 219 patients (54 ± 7 years, 83% males), from which, 66.2% were actively working, 16.4% early-retired, 11.9% unemployed and 5.5% in long-term exit from work due to non-cardiac disease. In our sample, mean monthly labor cost was 1193 euros (46 euros/day). Median number of days absent from work were 34 days (31 days in men and 52 days in women). In total, we had 10679 days of absence from work in this population with a total cost of 475.367,20 euros. In 2016, there were 4133 patients with < 66 years admitted in Portugal due to AMI that survived to discharge. Thus, we estimate an indirect cost in Portugal of 8.971.199,26 euros in the first year after AMI.</p> <p>Conclusions: In Portugal, the burden of indirect costs after an AMI is close to nine million euros during the first year after AMI. Strategies to improve time of return to work are very important to lower these costs.</p>
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