Direct Hospitalization Cost of Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease in Vietnam

Chau Quy Ngo, Thuy Thi Bui, Giap Van Vu, Hanh Thi Chu, Phuong Thu Phan, Ha Ngoc Pham, Giang Thu Vu, Long Hoang Nguyen, Giang Hai Ha, Bach Xuan Tran, Carl A. Latkin, Cyrus S. H. Ho and Roger C. M. Ho
Additional contact information
Chau Quy Ngo: Department of Internal Medicine, Hanoi Medical University, Hanoi 100000, Vietnam
Thuy Thi Bui: Department of Internal Medicine, Hanoi Medical University, Hanoi 100000, Vietnam
Giap Van Vu: Department of Internal Medicine, Hanoi Medical University, Hanoi 100000, Vietnam
Hanh Thi Chu: Respiratory Center, Bach Mai Hospital, Hanoi 100000, Vietnam
Phuong Thu Phan: Department of Internal Medicine, Hanoi Medical University, Hanoi 100000, Vietnam
Ha Ngoc Pham: Respiratory Center, Bach Mai Hospital, Hanoi 100000, Vietnam
Giang Thu Vu: Center of Excellence in Evidence-Based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 70000, Vietnam
Long Hoang Nguyen: Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 70000, Vietnam
Giang Hai Ha: Institute for Global Health Innovations, Duy Tan University, Da Nang 55000, Vietnam
Bach Xuan Tran: Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
Carl A. Latkin: Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
Cyrus S. H. Ho: Department of Psychological Medicine, National University Hospital, Singapore 119074, Singapore
Roger C. M. Ho: Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 70000, Vietnam

IJERPH, 2018, vol. 16, issue 1, 1-8

Abstract: Acute exacerbations of chronic obstructive pulmonary disease (AECOPD) have been found to contribute, predominantly, to increasing costs of COPD—a major public health issue. This study aimed to fill the gap in literature concerning costs of AECOPD in Vietnam, by examining the direct cost of AECOPD hospitalization and determining potentially associated factors. A cross-sectional study was conducted at the Respiratory Center of Bach Mai Hospital, Hanoi. A total of 57 participants were selected. Information regarding sociodemographic features, clinical characteristics, and hospitalization costs were collected. A multivariate generalized linear regression model was utilized to determine the factors associated with hospitalization costs. The mean total and daily hospitalization cost were 18.3 million VND (SD = 12.9) and 2.5 million VND (SD = 3.2), respectively. Medication cost accounted for 53.9% of hospitalization cost (from 44.0% in the Global Initiative for Chronic Obstructive Lung Disease Classification A (GOLD A) to 55.3% in GOLD C). Patients having GOLD D COPD (Coef. = 5.78; 95% CI = 0.73–10.83), higher age (Coef. = 0.37; 95% CI = 0.13–0.61), and higher duration of hospitalization (Coef. = 1.91; 95% CI = 1.28–2.53) had higher hospitalization costs ( p < 0.05). This study suggested that interventions to screen COPD patients as well as provide timely treatment should be conducted widely in the community in order to avoid any unnecessary hospitalization cost, consequently reducing the economic burden of COPD.

Keywords: acute exacerbation; co-morbidity; COPD; cost; economics; hospitalization (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
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