Medico-economic performance of treatment of patients with chronic obstructive pulmonary disease and bronchial asthma in case of emergency admission

Aim. To study medico-economic performance of outpatient and inpatient treatment of patients with chronic obstructive pulmonary disease (COPD) and bronchial asthma (BA) during emergency hospitalization and the influence of workshops on them.

Methods. 75 case histories of patients with COPD and asthma treated in the department of internal medicine №1 of Kazan city polyclinic №3 were analyzed. Conventional clinical, pharmakoepidemiological, medico-economic methods of research, evaluation of quality of life and level of patient’s knowledge about the disease and statistical methods were used.

Results. The study revealed that the number of ambulance calls in the groups undergoing training decreased significantly compared to the period before training. So, in the group taught at COPD workshop the number of ambulance calls decreased to 1.43 times, and in the group of BA workshop it decreased to 1.58 times. The change in the number of admissions and the number of ambulance calls causes leads to decreased health care costs for the treatment of patients with COPD and BA. The cost of outpatient treatment of 1 case of asthma (including personal patient’s expenses) is 2280.2 rubles. Average cost of 1 case of outpatient treatment of COPD is 3095.6 rubles. Training patients with asthma at asthma workshop resulted in saving health costs of 5593.512 rubles for each patient trained due to reducing the cost of inpatient treatment and emergency medical care. The effect of training of patients at COPD workshop resulted in saving health costs of 7180.78 rubles. The total amount of budget savings for the treatment of all cases of BA and COPD was 465 544.4 rubles.

Conclusion. Influence of patients’ training at workshop resulted in saving costs of health care system and decreased number of ambulance calls.