Methods: This longitudinal observational study was performed using the EGB (Echantillon Généraliste des Bénéficiaires) database, a random sample of the French national insurance (NHI) database, which covers 80% of the population. All adult patients whose first NVAF anticoagulant treatment in 2013 was a VKA were analyzed. Costs were calculated for the duration of follow-up and then divided by the number of days of therapy. The analysis was performed both from the French NHI perspective (amount reimbursed by the NHI) and from a collective perspective.
Results: In this study, 3,254 NVAF patients treated with VKA in 2013 were included, and this sample comprised 52.6% males. The mean daily cost of VKA treatment was €1.13 (±1.18) according to the collective perspective (89.4% of this cost was associated to INR measurement) and €1.05 (±1.16) according to the NHI perspective.
Limitations: As diagnoses associated with procedures are not available in the EGB database, proxies were used, and an algorithm was created to define the AF population.
Conclusions: This analysis is the first to consider an exhaustive spectrum of the costs of VKA treatment in France using EGB data. VKA medication requires exhaustive follow-up, and, thus, associated costs are important. The results of the present study confirmed this close follow-up for VKA patients, making the cost of treatment by VKA nearly 10-times more expensive than the cost of medication itself. 相似文献
: Mesurer la performance globale des entreprises publiques est wte tâche ardue en raison des multiples objectifs konomiques et sociaux qui sod habituellemeni assignés à ces organisatwns. L'article s'attmhe à appécier un aspect particulier mais néanmoins important de laperformance éonomique: l‘efficience techruque. Une frontiére des possibilités de production est dérwée de l'estimation d'une fonction de production de type Cobb-Douglas sur un éhantillon de dix sociétés africaines pmductrices d‘éectricité. La principale conclusion qui se dégage de l’analyse économétrique est la suivante: l‘écart relatif d‘efficience entre les dew soeiétés extrêmes de la distribution est de l'odre de20%, avant comme aprè correction Cle l'efficience pour l'action de factews d'environnement exogènes à la gestion des sociitb. 相似文献