The cost-of-illness due to rheumatic heart disease: national estimates for Fiji
Rheumatic heart disease (RHD) is a chronic valvular heart disease that is responsible for a heavy burden of premature mortality in low- and middle-income countries. The total costs of RHD are important to health policy and research investment decisions. We estimate for the first time the total cost...
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| Main Authors: | , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
31 March 2020
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| In: |
Transactions of the Royal Society of Tropical Medicine and Hygiene
Year: 2020, Volume: 114, Issue: 7, Pages: 483-491 |
| ISSN: | 1878-3503 |
| DOI: | 10.1093/trstmh/trz118 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1093/trstmh/trz118
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| Author Notes: | Rachel C Heenan, Tom Parks, Till Bärnighausen, Joseph Kado, David E Bloom and Andrew C Steer |
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| 520 | |a Rheumatic heart disease (RHD) is a chronic valvular heart disease that is responsible for a heavy burden of premature mortality in low- and middle-income countries. The total costs of RHD are important to health policy and research investment decisions. We estimate for the first time the total cost of RHD for Fiji (2008-2012) using a cost-of-illness approach and novel primary data on RHD disease burden and costs.RHD cases were identified using probabilistic record linkage across four routine data sources: (1) the Fiji RHD Control Program, (2) national hospital admissions records, (3) the Ministry of Health database of cause-specific deaths and (4) hospital ECG clinic registers. For each individual with RHD, we obtained information on RHD hospital admissions, treatment and death. We conducted a prevalence-based cost-of-illness analysis, including bottom-up assessment of indirect and direct (healthcare) costs.The estimated cost of RHD in Fiji for 2008-2012 was year-2010 $FJ91.6 million (approximately US$47.7 million). Productivity losses from premature mortality constituted the majority of costs (71.4%). Indirect costs were 27-fold larger than the direct costs.RHD leads to a heavy economic burden in Fiji. Improved prevention strategies for RHD will likely confer substantial economic benefits to the country. | ||
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