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Cost Analysis of Health Examination Screening Program for Ischemic Heart Disease in Active-Duty Military Personnel in the Middle-Income Country

Cardiovascular diseases, including ischemic heart disease, are the most common causes of morbidity and death in the world, including Serbia, as a middle-income European country. The aim of the study was to determine the costs of preventive examinations for ischemic heart disease in active-duty milit...

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Autores principales: Simic, Radoje, Ratkovic, Nenad, Dragojevic Simic, Viktorija, Savkovic, Zorica, Jakovljevic, Mihajlo, Peric, Vitomir, Pandrc, Milena, Rancic, Nemanja
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7969704/
https://www.ncbi.nlm.nih.gov/pubmed/33748069
http://dx.doi.org/10.3389/fpubh.2021.634778
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author Simic, Radoje
Ratkovic, Nenad
Dragojevic Simic, Viktorija
Savkovic, Zorica
Jakovljevic, Mihajlo
Peric, Vitomir
Pandrc, Milena
Rancic, Nemanja
author_facet Simic, Radoje
Ratkovic, Nenad
Dragojevic Simic, Viktorija
Savkovic, Zorica
Jakovljevic, Mihajlo
Peric, Vitomir
Pandrc, Milena
Rancic, Nemanja
author_sort Simic, Radoje
collection PubMed
description Cardiovascular diseases, including ischemic heart disease, are the most common causes of morbidity and death in the world, including Serbia, as a middle-income European country. The aim of the study was to determine the costs of preventive examinations for ischemic heart disease in active-duty military personnel, as well as to assess whether this was justified from the point of view of the limited health resources allocated for the treatment of the Republic of Serbia population. This is a retrospective cost-preventive study which included 738 male active-duty military personnel, aged from 23 to 58. The costs of primary prevention of ischemic heart disease in this population were investigated. Out of 738 subjects examined, arterial hypertension was detected in 101 subjects (in 74 of them, arterial hypertension was registered for the first time, while 27 subjects were already subjected to pharmacotherapy for arterial hypertension). Average costs of all services during the periodic-health-examination screening program were €76.96 per subject. However, average costs of all services during the periodic-health-examination screening program for patients with newfound arterial hypertension and poorly regulated arterial hypertension were €767.54 per patient and €2,103.63 per patient, respectively. Since periodic-health-examination screening program in military personnel enabled not only discovery of patient with newfound arterial hypertension but also regular monitoring of those who are already on antihypertensive therapy, significant savings of €690.58 per patient and €2,026.67 per patient can be achieved, respectively. As financial resources for providing health care in Serbia, as a middle-income country, are limited, further efforts should be put on screening programs for ischemic heart disease due to possible significant savings.
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spelling pubmed-79697042021-03-19 Cost Analysis of Health Examination Screening Program for Ischemic Heart Disease in Active-Duty Military Personnel in the Middle-Income Country Simic, Radoje Ratkovic, Nenad Dragojevic Simic, Viktorija Savkovic, Zorica Jakovljevic, Mihajlo Peric, Vitomir Pandrc, Milena Rancic, Nemanja Front Public Health Public Health Cardiovascular diseases, including ischemic heart disease, are the most common causes of morbidity and death in the world, including Serbia, as a middle-income European country. The aim of the study was to determine the costs of preventive examinations for ischemic heart disease in active-duty military personnel, as well as to assess whether this was justified from the point of view of the limited health resources allocated for the treatment of the Republic of Serbia population. This is a retrospective cost-preventive study which included 738 male active-duty military personnel, aged from 23 to 58. The costs of primary prevention of ischemic heart disease in this population were investigated. Out of 738 subjects examined, arterial hypertension was detected in 101 subjects (in 74 of them, arterial hypertension was registered for the first time, while 27 subjects were already subjected to pharmacotherapy for arterial hypertension). Average costs of all services during the periodic-health-examination screening program were €76.96 per subject. However, average costs of all services during the periodic-health-examination screening program for patients with newfound arterial hypertension and poorly regulated arterial hypertension were €767.54 per patient and €2,103.63 per patient, respectively. Since periodic-health-examination screening program in military personnel enabled not only discovery of patient with newfound arterial hypertension but also regular monitoring of those who are already on antihypertensive therapy, significant savings of €690.58 per patient and €2,026.67 per patient can be achieved, respectively. As financial resources for providing health care in Serbia, as a middle-income country, are limited, further efforts should be put on screening programs for ischemic heart disease due to possible significant savings. Frontiers Media S.A. 2021-03-04 /pmc/articles/PMC7969704/ /pubmed/33748069 http://dx.doi.org/10.3389/fpubh.2021.634778 Text en Copyright © 2021 Simic, Ratkovic, Dragojevic Simic, Savkovic, Jakovljevic, Peric, Pandrc and Rancic. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Simic, Radoje
Ratkovic, Nenad
Dragojevic Simic, Viktorija
Savkovic, Zorica
Jakovljevic, Mihajlo
Peric, Vitomir
Pandrc, Milena
Rancic, Nemanja
Cost Analysis of Health Examination Screening Program for Ischemic Heart Disease in Active-Duty Military Personnel in the Middle-Income Country
title Cost Analysis of Health Examination Screening Program for Ischemic Heart Disease in Active-Duty Military Personnel in the Middle-Income Country
title_full Cost Analysis of Health Examination Screening Program for Ischemic Heart Disease in Active-Duty Military Personnel in the Middle-Income Country
title_fullStr Cost Analysis of Health Examination Screening Program for Ischemic Heart Disease in Active-Duty Military Personnel in the Middle-Income Country
title_full_unstemmed Cost Analysis of Health Examination Screening Program for Ischemic Heart Disease in Active-Duty Military Personnel in the Middle-Income Country
title_short Cost Analysis of Health Examination Screening Program for Ischemic Heart Disease in Active-Duty Military Personnel in the Middle-Income Country
title_sort cost analysis of health examination screening program for ischemic heart disease in active-duty military personnel in the middle-income country
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7969704/
https://www.ncbi.nlm.nih.gov/pubmed/33748069
http://dx.doi.org/10.3389/fpubh.2021.634778
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