A pilot study of expenditures on, and utilization of resources in, health care in adults with congenital heart disease

Philip Moons, Kaat Siebens, Sabina De Geest, Ivo L Abraham, Werner Budts, Marc Gewillig

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Background: Congenital cardiac disease may be a chronic condition, necessitating life-long follow-up for a substantial proportion of the patients. Such patients, therefore, are often presumed to be high users of resources for health care. Information on utilization of resources in adults with congenital heart disease, however, is scarce. Methods: This retrospective pilot study, performed in Belgium, investigated 192 adults with congenital heart disease to measure the annual expenditures and utilization of health care and compared the findings with data from the general population. We also sought to explore demographic and clinical parameters as predictors for the expenditures. Results: Hospitalization was documented in 20.3% of the patients, with a median length of stay of 5 days. The overall payment by health insurance associations in 1997 was 1794.5 ECU per patient, while patients paid on average 189.5 ECU out-of-pocket. For medication, the average reimbursement and out-of-pocket expenses were estimated at 78 ECU and 20 ECU, respectively. Expenditures for patients with congenital heart disease were considerably higher than the age and gender-corrected expenditures for the general population (411.7 ECU), though this difference was accounted for by only one-eighth of the cohort of those with congenital heart disease. In general, higher expenditures were associated with abnormal left ventricular end-diastolic diameter, female gender, functional impairment and higher age, although the explained variance was limited. Conclusion: Our study has provided pilot data on the economic outcomes for patients with congenital heart diseases. We have identified parameters that could predict expenditure, but which will have to be examined in future research. This is needed to develop guidelines for health insurance for those with congenital heart diseases.

Original languageEnglish (US)
Pages (from-to)301-313
Number of pages13
JournalCardiology in the Young
Volume11
Issue number3
StatePublished - 2001
Externally publishedYes

Fingerprint

Health Expenditures
Heart Diseases
Delivery of Health Care
Health Insurance
Patient Acceptance of Health Care
Belgium
Population
Length of Stay
Hospitalization
Retrospective Studies
Economics
Demography
Guidelines

Keywords

  • Adolescents
  • Grown-up congenital heart disease
  • Health services research

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pediatrics, Perinatology, and Child Health

Cite this

A pilot study of expenditures on, and utilization of resources in, health care in adults with congenital heart disease. / Moons, Philip; Siebens, Kaat; De Geest, Sabina; Abraham, Ivo L; Budts, Werner; Gewillig, Marc.

In: Cardiology in the Young, Vol. 11, No. 3, 2001, p. 301-313.

Research output: Contribution to journalArticle

Moons, Philip ; Siebens, Kaat ; De Geest, Sabina ; Abraham, Ivo L ; Budts, Werner ; Gewillig, Marc. / A pilot study of expenditures on, and utilization of resources in, health care in adults with congenital heart disease. In: Cardiology in the Young. 2001 ; Vol. 11, No. 3. pp. 301-313.
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