EXPECTED COST OF DRUG THERAPY IN PATIENTS WITH ARTERIAL HYPERTENSION, DIABETES MELLITUS AND DYSLIPIDEMIA IN CHILE- A PROBABILISTIC ANALYSIS
Author(s)
Balmaceda C1, Espinoza MA2
1Instituto de Salud Pública, Santiago, Chile, 2Pontificia Universidad Catolica de Chile, Santiago, Chile
OBJECTIVES: To estimate the expected cost of the pharmacological treatment on prevalence of arterial hypertension (AH), diabetes mellitus (DM) and dyslipidemia in the Chilean population, following the recent approval of Drug National Funds. METHODS: The drugs considered in this study and the information about it, were obtained through a review of clinical guideline or technical norms published by the health ministery of Chile. The cost was estimated using the drug consumption patterns from the national health survey 2009-2010 and from a vector of prices for every drug and their combination of uses, for both public and private health systems through the public market platform and IMS health Chile. 10.000 Montecarlo simulations were performed to propagate the uncertainty of parameters. RESULTS: The expected cost (and its credibility intervals of 95%) of the prevalent population with AH, DM and dyslipidemia using prices from public health system was in Chilean pesos (CLP$) CLP$12,463MM (CLP$11,394MM – CLP$13,622MM), CLP$36,425MM (CLP$25,603MM – CLP$49,624MM) and CLP$20,658MM (CLP$11,090MM – CLP$33,284MM) respectively. While, the estimated cost based on private health system was CLP$700,613MM (CLP$561,764MM – CLP$865,354MM), CLP$333,921MM (CLP$253,963MM – CLP$436,879MM) and CLP$680,919MM (CLP$327,916MM – CLP$1,645,906MM) respectively. CONCLUSIONS: The expected cost needed for the treatment of the three conditions studied represent 1.3% and 2.9% in the worst case scenario (33% considering private system prices) of the 2014 health budget, and the effort to improve the subdiagnostic of these conditions would determine a budget impact of at least 0.86%, only with pharmacological treatment.
Conference/Value in Health Info
2015-05, ISPOR 2015, Philadelphia, PA, USA
Value in Health, Vol. 18, No. 3 (May 2015)
Code
PCV47
Topic
Economic Evaluation
Topic Subcategory
Budget Impact Analysis, Cost/Cost of Illness/Resource Use Studies
Disease
Cardiovascular Disorders, Diabetes/Endocrine/Metabolic Disorders, Multiple Diseases