Structure and Distribution of Health Care Costs across Age Groups of Patients with Multimorbidity in Lithuania
Abstract
:1. Background
2. Methods
2.1. Study Population
2.2. Statistical Analysis
3. Results
3.1. Study Sample and Health Care Service Cost
3.2. Health Care Cost and Age
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Chronic Diseases with ICD-10-AM Diagnostic Codes | |
---|---|
1 | Cancer C00–C96 |
2 | Anaemia D50 |
3 | Hypothyroidism E02; E03; E89.0 |
4 | Diabetes E10.0–E10.9; E11.0–E11.9 |
5 | Obesity E66 |
6 | Dyslipidaemia E78 |
7 | Dementia F00.0–F00.9; G30.0–G30.9; F01.0–F01.9; F02.0–F02.8; F03 |
8 | Mental disorders F20.0–F20.9; F30.0–F39; F40.00–F40.9; F41.0–F41.9; F42.0–F42.9; F43.0–F43.9 |
9 | Parkinson disease G20 |
10 | Multiple sclerosis G35 |
11 | Epilepsy G40.00–G40.91 |
12 | Sleep apnoea G47.3 |
13 | Back Pain G54.1; G54.4; G55.1; M51 |
14 | Glaucoma H40–H42 |
15 | Blindness H53–H54 |
16 | Hearing loss H90.0–H90.8; H91.0–H91.9 |
17 | Hypertension I10–I15 |
18 | Ischemic heart disease I20–I25 |
19 | Arrhythmias I44–I49 |
20 | Heart failure I50.0–I50.9 |
21 | Intracranial bleeding I61–I62 |
22 | Stroke I63-I64; I69 |
23 | Chronic obstructive pulmonary disease J44.0–J44.9; J96 |
24 | Asthma J45.0–J45.9 |
25 | Inflammatory bowel disease K50; K51 |
26 | Psoriasis L40.0–L40.9 |
27 | Rheumatoid arthritis M05–M06 |
28 | Gout M10.0–M10.99 |
29 | Osteoarthritis M15–M19 |
30 | Systemic lupus erythematosus M32 |
31 | Osteoporosis M80–M82 |
32 | Renal failure N18–N19 |
Age, Years | N | Mean of Total Amount | Mean Cost of Medication | Mean Cost of Hospitalization | Mean Cost of Primary Care | Mean Cost of Outpatient Care |
---|---|---|---|---|---|---|
18–24 | 2000 | 378.70 | 154.64 | 173.83 | 19.26 | 30.97 |
25–34 | 4861 | 401.72 | 190.17 | 159.29 | 19.26 | 33.00 |
35–44 | 14,305 | 455.38 | 206.85 | 195.45 | 19.26 | 33.82 |
45–54 | 48,357 | 554.47 | 231.46 | 263.14 | 25.11 | 34.76 |
55–64 | 92,777 | 665.05 | 279.58 | 319.79 | 30.96 | 34.71 |
65–74 | 116,423 | 757.05 | 304.64 | 382.54 | 36.12 | 33.75 |
75–84 | 111,953 | 797.59 | 292.40 | 443.00 | 36.12 | 26.07 |
85+ | 37,754 | 697.17 | 252.78 | 395.24 | 36.12 | 13.02 |
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Nedzinskienė, L.; Jurevičienė, E.; Visockienė, Ž.; Ulytė, A.; Puronaitė, R.; Kasiulevičius, V.; Kazėnaitė, E.; Burneikaitė, G.; Navickas, R. Structure and Distribution of Health Care Costs across Age Groups of Patients with Multimorbidity in Lithuania. Int. J. Environ. Res. Public Health 2021, 18, 2767. https://doi.org/10.3390/ijerph18052767
Nedzinskienė L, Jurevičienė E, Visockienė Ž, Ulytė A, Puronaitė R, Kasiulevičius V, Kazėnaitė E, Burneikaitė G, Navickas R. Structure and Distribution of Health Care Costs across Age Groups of Patients with Multimorbidity in Lithuania. International Journal of Environmental Research and Public Health. 2021; 18(5):2767. https://doi.org/10.3390/ijerph18052767
Chicago/Turabian StyleNedzinskienė, Laura, Elena Jurevičienė, Žydrūnė Visockienė, Agnė Ulytė, Roma Puronaitė, Vytautas Kasiulevičius, Edita Kazėnaitė, Greta Burneikaitė, and Rokas Navickas. 2021. "Structure and Distribution of Health Care Costs across Age Groups of Patients with Multimorbidity in Lithuania" International Journal of Environmental Research and Public Health 18, no. 5: 2767. https://doi.org/10.3390/ijerph18052767
APA StyleNedzinskienė, L., Jurevičienė, E., Visockienė, Ž., Ulytė, A., Puronaitė, R., Kasiulevičius, V., Kazėnaitė, E., Burneikaitė, G., & Navickas, R. (2021). Structure and Distribution of Health Care Costs across Age Groups of Patients with Multimorbidity in Lithuania. International Journal of Environmental Research and Public Health, 18(5), 2767. https://doi.org/10.3390/ijerph18052767