Cost Analysis of Psoriasis Treatment Modalities in Malaysian Public Hospitals
- Author:
AZIZAM NA
1
Author Information
1. aculty of Business and Management, Universiti Teknologi MARA Selangor, Puncak Alam Campus
- Collective Name:AZIZAM NA; SAPERI S2; ANIZA I; NORAZIRAH MN; ZAFAR A3; AZURA MA; TAN WC5; CHAN LC; TEY KE
- Publication Type:Journal Article
- Keywords:
cost analysis;
psoriasis;
Malaysia
- From:Medicine and Health
2019;14(1):23-33
- CountryMalaysia
- Language:English
-
Abstract:
Psoriasis imposes a great economic burden as a result of higher expenditures
for different interventions, diagnostic procedures, pharmaceuticals and loss of
productivity. Less is known about the economic impact of psoriasis treatment in
Asean region. The aim of this research was to calculate the costs associated with
four psoriasis treatment modalities. A prospective cohort study was conducted
in five hospitals involving 91 moderate to severe psoriasis patients. Costs were
calculated from the societal perspective using the principle of Step Down and
Activity Based Costing (ABC) within a six (6) months follow-up duration. The
components of the costs borne by the provider were inpatient cost, cost of
medication, laboratory investigation and radiology. Patient’s cost included out of
pocket expenses, travelling cost and loss of productivity. Cost per patient per day
was RM1,105.24 (inpatient) (US$315.94) and RM298.02 (outpatient) (US$85.19).
Medication accounted for almost 90% (RM457,014.00) (US$130 638.45) of the total
provider cost. Meanwhile, loss of productivity represented 84% (RM167,439.00)
(US$47,862.80) of the total patient’s cost. Biologic treatment exhibited the highest
cost which was RM342,377.00 (US$97,869.21), followed by systemic treatment
(RM105,607.00) (US$30,187.99), topical treatment (RM38,280.00) (US$10,942.42)
and topical phototherapy treatment (RM21,824.00) (US$6,238.44). Understanding
the relationship between direct and indirect costs from both perspectives is
important to accurately identify and evaluate effective treatment for psoriasis
- Full text:12.2019my0112.pdf
