4.1 Article

Cost analysis of drug treatment in hypertensive patients at social security health care family medicine units

Journal

SALUD PUBLICA DE MEXICO
Volume 64, Issue 2, Pages 188-195

Publisher

INST NACIONAL SALUD PUBLICA
DOI: 10.21149/12972

Keywords

Hypertension; cost allocation; drug therapy

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The objective of this study was to estimate the increase in drug treatment costs associated with predictive factors of hypertensive patients in family medicine units. The results showed that diabetes, age, and complications were the factors with the largest influence on hypertension pharmacological costs.
Objective.To estimate the increase of drug treatment costs associated with predictive factors of hypertensive patients in family medicine units. Materials and methods. A generalized linear model was employed to estimate costs with data from a microcosting costing study for a 1-year time horizon. Sources of dada were medical electronic files, pharmacy records and unitary prices updated to 2019. Results. From a total of 864 patients older than 65 years were 67% and women 65%. Factors with most influence on mean drug treatment costs were diabetes, age and complications associated with hypertension.Mean annual cost of antihypertensive treatment was 61 dollars (CI95% 55,67) and median were 32 dollars (IQR 30,35) per patient. Incremental costs for diabetes were 23 dollars (CI95% 13,33) and 25 dollars (CI95% 5, 45) in the group of >= 65 years. Conclusion. Diabetes, age and complications were the factors with largest influence on hypertension pharmacological costs.

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