Smoking-Attributable Direct Healthcare Expenditure in Lithuania: A Prevalence-Based Annual Cost Approach
Abstract
:1. Introduction
2. Experimental Section
2.1. Expenditure on Outpatient Care Services
2.2. Expenditure on Inpatient Care Services and Medical Rehabilitation
2.3. Expenditure on Pharmaceuticals and Medical Aids
2.4. Other Expenditure
2.5. Data Sources
3. Results
4. Discussion
5. Conclusions
Acknowledgments
Author Contributions
Conflicts of Interest
References
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Disease Category | ICD-10 Code | % SAF | ||
---|---|---|---|---|
Male | Female | Both | ||
Cancer | ||||
Lip, Oral Cavity, Pharynx | C00–C14 | 29.4 | 6.2 | 16.1 |
Esophagus | C15 | 29.4 | 6.2 | 16.1 |
Stomach | C16 | 29.4 | 6.2 | 16.1 |
Pancreas | C25 | 29.4 | 6.2 | 16.1 |
Larynx | C32 | 29.4 | 6.2 | 16.1 |
Trachea, Lung, Bronchus | C33–C34 | 85.4 | 56.1 | 68.6 |
Cervix Uteri | C53 | 0.0 | 6.2 | 3.6 |
Kidney and Renal Pelvis | C64–C65 | 29.4 | 6.2 | 16.1 |
Urinary Bladder | C67 | 29.4 | 6.2 | 16.1 |
Acute Myeloid Leukemia | C92.0 | 29.4 | 6.2 | 16.1 |
Colorectal | C18–C20 | 29.4 | 6.2 | 16.1 |
Liver | C22 | 29.4 | 6.2 | 16.1 |
Cardiovascular and Cerebrovascular Diseases | ||||
Ischemic Heart Disease | I20–I25 | 46.8 | 26.6 | 35.2 |
Acute Rheumatic Fever and Rheumatic Heart Disease | I00–I09 | 7.7 | 0.7 | 3.7 |
Other Heart Disease | I26–I51 | 7.7 | 0.7 | 3.7 |
Cerebrovascular Disease | I60–I69 | 6.8 | 0.6 | 3.3 |
Atherosclerosis | I70 | 17.2 | 3.2 | 9.2 |
Aortic Aneurysm | I71 | 17.2 | 3.2 | 9.2 |
Other Arterial Disease | I72–I78 | 17.2 | 3.2 | 9.2 |
Respiratory Diseases | ||||
Pneumonia, Influenza | J10–J18 | 49.3 | 34.1 | 40.6 |
Bronchitis | J40–J42 | 49.3 | 34.1 | 40.6 |
Emphysema | J43 | 49.3 | 34.1 | 40.6 |
Chronic Airway Obstruction | J44 | 49.3 | 34.1 | 40.6 |
Other | ||||
Diabetes Mellitus | E10–E14 | 3.5 | 0.3 | 1.7 |
Tuberculosis | A16–A19 | 49.3 | 34.1 | 40.6 |
Cancer a | Cardiovascular and Cerebrovascular Diseases b | Respiratory Diseases c | Other d | All Cause | |
---|---|---|---|---|---|
Inpatient * care services | |||||
-long-term treatment | 369,923 | 1,251,146 | 41,918 | 210,136 | 1,873,123 |
-inpatient active treatment | 4,063,324 | 11,561,888 | 7,321,412 | 78,058 | 23,024,683 |
Outpatient care services | |||||
-primary outpatient healthcare | 511,172 | ||||
-provided outpatient service | 177,522 | 213,054 | 168,482 | 21,426 | 580,484 |
Medical rehabilitation | |||||
-inpatient rehabilitation | 82,898 | 578,959 | 9064 | 4409 | 675,330 |
-outpatient rehabilitation | 712 | 4937 | 2240 | 7 | 7895 |
Pharmaceuticals | |||||
-reimbursable pharmaceuticals and medical aids | 2,615,651 | 1,937,661 | 2,230,334 | 434,300 | 7,217,946 |
-publicly procured pharmaceuticals and medical aids | 1,353,594 | ||||
Other | |||||
-emergency medical aid (ambulance) service | 689,040 | ||||
-nursing | 703,270 | ||||
-expensive tests and procedures | 535,560 | ||||
Total | 7,310,030 | 15,547,645 | 9,773,449 | 748,337 | 37,354,125 |
SAHE (€) | THE (€) | %THE | |
---|---|---|---|
Inpatient * care services | 24,897,806 | 424,056,045 | 5.9 |
Outpatient care services | 1,091,684 | 336,437,791 | 0.3 |
Medical Rehabilitation | 683,226 | 39,243,513 | 1.7 |
Pharmaceuticals and medical aids | 8,753,540 | 235,547,961 | 3.7 |
Emergency medical aid (ambulance) service | 689,040 | 40,531,782 | 1.7 |
Nursing | 703,270 | 41,368,797 | 1.7 |
Expensive tests and procedures | 535,560 | 31,503,545 | 1.7 |
Total | 37,354,125 | 1,148,689,433 | 3.3 ** |
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Liutkutė, V.; Štelemėkas, M.; Veryga, A. Smoking-Attributable Direct Healthcare Expenditure in Lithuania: A Prevalence-Based Annual Cost Approach. Medicina 2018, 54, 15. https://doi.org/10.3390/medicina54020015
Liutkutė V, Štelemėkas M, Veryga A. Smoking-Attributable Direct Healthcare Expenditure in Lithuania: A Prevalence-Based Annual Cost Approach. Medicina. 2018; 54(2):15. https://doi.org/10.3390/medicina54020015
Chicago/Turabian StyleLiutkutė, Vaida, Mindaugas Štelemėkas, and Aurelijus Veryga. 2018. "Smoking-Attributable Direct Healthcare Expenditure in Lithuania: A Prevalence-Based Annual Cost Approach" Medicina 54, no. 2: 15. https://doi.org/10.3390/medicina54020015