Abstract

TABARES SILVERIO, Yosvany; FERNANDEZ GARCIA, Ariana  and  CASTILLO ABREU, Diana. Institutional cost of hypertensive crisis in the "Antonio Maceo" polyclinic. Rev Cubana Med Gen Integr [online]. 2011, vol.27, n.2, pp.161-171. ISSN 0864-2125.

Introduction: high blood pressure affects the health of populations at world scale. By itself represent a disease and a risk factor for other cardiovascular affections. Its impact is on the epidemiology, public health areas and in the economic feature. Objective: to determine the institutional cost of the patient care with hypertensive crisis in the emergency service of the "Antonio Maceo" polyclinic of La Habana during the first semester of 2008. Methods: a cost description study was conducted. The methodological approach used was that of disease cost, following the rules recommended in Methodological Guide for Health Economic Assessments of Cuba. Costs were expressed in non-convertible Cuban pesos of 2008. Analysis perspective adopted was the institutional one. Study universe included 216 patients. In the estimation of institutional total cost the following variable were considered: drug, diagnostic means, wages costs among others. Results: authors studied 209 patients diagnosed with hypertensive urgency (96,8 %) and 7 with hypertensive emergency (3,2 %). Total cost of patient care with hypertensive crisis rose to 5 451 68 pesos in national money and the mean cost by patient was of 25,23. Conclusions: the higher cost in patient care with hypertensive crisis was related to the net wage. The appropriate dispensarization and treatment of hypertensive patients could to decrease the medical care cost.

Keywords : Disease cost; high blood pressure; hypertensive crisis; risk factors; health economy.