dostęp otwarty

Tom 20, Nr 2 (2016)
ORIGINAL PAPERS
Opublikowany online: 2016-06-30
Pobierz cytowanie

Financing medical services in children with arterial hypertension within public health insurance

Teresa Bilewicz-Wyrozumska, Ewa Momot, Joanna Krukowska, Damian Grund, Jolanta Wołkowicz
DOI: 10.5603/AH.2016.0009
·
Arterial Hypertension 2016;20(2):51-59.

dostęp otwarty

Tom 20, Nr 2 (2016)
ORIGINAL PAPERS
Opublikowany online: 2016-06-30

Streszczenie

Introduction. Arterial hypertension in children and teenagers is more often perceived as an interdisciplinary problem. The subject literature most often presents reports concerning medical issues. Very rare are reports presenting the problem form the perspective of public health and economy.

Aim. The aim of the study was to analyze the burden of public health insurance system on providing services due to hypertension in children and teenagers in Silesian Province.

Material. In this paper the data from the Database of Healthcare Services of the Silesian Regional Branch of National Healthcare Fund in 2013 and 2014 and MZ-11 reports were used.

Results. In Silesian Province hypertension in primary healthcare units in 2013 was diagnosed in 19, 317 patients at 0-18 years of age, while in 2014 in 18,173. Due to hypertension in 2013 within specialist outpatient care the cost of performed services amounted to 116,853 PLN for 787 patients, while in 2014 130,384 PLN for 804 sick individuals. In 2013-2014 in clinical centers 480 hospitalization for 372 patents with hypertension were provided, while in the other hospital healthcare centers - 391. The value of services in hospital healthcare was 1,383,923 PLN in 2013 and 1,357,332 PLN in 2014. Essential hypertension (I10 according to ICD) in different clinical units was diagnosed in 86.33-88.29% of the hospitalized patients due to hypertension while in the other hospitals in 93.86% of patients with hypertension.

Conclusion.1. Hospitalizations due to hypertension in patients at 0-18 years of age generate the biggest financial burden for the payer of services. 2. Nearly half of hospitalizations were provided in academic centers. 3. The most numerous group of the hospitalized individuals was patients at the age of 15-18 who were diagnosed with essential hypertension. 4. The scope of services provided during hospitalization in clinical centers departments and regional hospitals significantly differs.

Streszczenie

Introduction. Arterial hypertension in children and teenagers is more often perceived as an interdisciplinary problem. The subject literature most often presents reports concerning medical issues. Very rare are reports presenting the problem form the perspective of public health and economy.

Aim. The aim of the study was to analyze the burden of public health insurance system on providing services due to hypertension in children and teenagers in Silesian Province.

Material. In this paper the data from the Database of Healthcare Services of the Silesian Regional Branch of National Healthcare Fund in 2013 and 2014 and MZ-11 reports were used.

Results. In Silesian Province hypertension in primary healthcare units in 2013 was diagnosed in 19, 317 patients at 0-18 years of age, while in 2014 in 18,173. Due to hypertension in 2013 within specialist outpatient care the cost of performed services amounted to 116,853 PLN for 787 patients, while in 2014 130,384 PLN for 804 sick individuals. In 2013-2014 in clinical centers 480 hospitalization for 372 patents with hypertension were provided, while in the other hospital healthcare centers - 391. The value of services in hospital healthcare was 1,383,923 PLN in 2013 and 1,357,332 PLN in 2014. Essential hypertension (I10 according to ICD) in different clinical units was diagnosed in 86.33-88.29% of the hospitalized patients due to hypertension while in the other hospitals in 93.86% of patients with hypertension.

Conclusion.1. Hospitalizations due to hypertension in patients at 0-18 years of age generate the biggest financial burden for the payer of services. 2. Nearly half of hospitalizations were provided in academic centers. 3. The most numerous group of the hospitalized individuals was patients at the age of 15-18 who were diagnosed with essential hypertension. 4. The scope of services provided during hospitalization in clinical centers departments and regional hospitals significantly differs.

Pobierz cytowanie

Słowa kluczowe

hypertension; children; financing

Informacje o artykule
Tytuł

Financing medical services in children with arterial hypertension within public health insurance

Czasopismo

Arterial Hypertension

Numer

Tom 20, Nr 2 (2016)

Strony

51-59

Data publikacji on-line

2016-06-30

DOI

10.5603/AH.2016.0009

Rekord bibliograficzny

Arterial Hypertension 2016;20(2):51-59.

Słowa kluczowe

hypertension
children
financing

Autorzy

Teresa Bilewicz-Wyrozumska
Ewa Momot
Joanna Krukowska
Damian Grund
Jolanta Wołkowicz

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