Cost of health care in children with haemophilia

• Published in: Revista médica (Mexico : 1983) Vol. 48; no. 2; pp. 199 - 204
• Main Authors: González-Figueroa, Maricela, Canales-Muñoz, José Luis, Aguayo-Alcaraz, Guadalupe, Zamora-Vázquez, Gabriela
• Format: Journal Article
• Language: Spanish
• Published: Mexico 01.03.2010
• Subjects: Adolescent; Child; Child, Preschool; Health Care Costs; Hemophilia A - economics; Hemophilia A - therapy; Humans
• ISSN: 0443-5117

To determine the cost of health care in hemophilic children. A study of costs analysis of children under 16 years with haemophilia type A and B with different severity grade in one year period was performed. Sociodemographic and clinical data were included. The costs of: 1) ambulatory care, 2) use of emergency services, 3) hospital stay, 4) drugs, 5) antihaemophilic treatment, 6) laboratory and 7) image studies were estimated. We obtained costs for each patient during a year with micro costs technique. We found 52 children (92.3% with haemophilia type A). Mean Age was 9.1 years. A half of them started treatment at the age of one year old, with 7.4 years of following. They had 6.7 average visits per year and 13 emergency hospitalization; haemartrosis was the main cause of hospitalization. Five children had more than 40 hospitalization and 27 cases with 1.9 hospitalization. The hospital average stay was 7.4 days. Total annual cost was 116,000 pesos. Higher cost was for the anti hemophilic factor with 73 052 pesos. The cost was similar to others Latin American studies and lower than in developed countries, however, factor replacement therapy accounts for most of the costs.