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Cost analysis of psoriasis treatment modalities in Malaysian public hospitals

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 cos...

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Main Authors: Azizam NA,, Saperi S,, Aniza Ismail,, Norazirah MN,, Zafar A,, Azura MA,, Tan, WC, Chan, LC, Tey, KE
Format: Article
Language:English
Published: Pusat Perubatan Universiti Kebangsaan Malaysia 2019
Online Access:http://journalarticle.ukm.my/15210/1/2_ms0204_pdf_63890.pdf
http://journalarticle.ukm.my/15210/
http://www.medicineandhealthukm.com/toc/14/1
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spelling my-ukm.journal.152102020-09-18T07:09:18Z http://journalarticle.ukm.my/15210/ Cost analysis of psoriasis treatment modalities in Malaysian public hospitals Azizam NA, Saperi S, Aniza Ismail, Norazirah MN, Zafar A, Azura MA, Tan, WC Chan, LC Tey, KE 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. Pusat Perubatan Universiti Kebangsaan Malaysia 2019 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/15210/1/2_ms0204_pdf_63890.pdf Azizam NA, and Saperi S, and Aniza Ismail, and Norazirah MN, and Zafar A, and Azura MA, and Tan, WC and Chan, LC and Tey, KE (2019) Cost analysis of psoriasis treatment modalities in Malaysian public hospitals. Medicine & Health, 14 (1). pp. 23-33. ISSN 2289-5728 http://www.medicineandhealthukm.com/toc/14/1
institution Universiti Kebangsaan Malaysia
building Tun Sri Lanang Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Kebangsaan Malaysia
content_source UKM Journal Article Repository
url_provider http://journalarticle.ukm.my/
language English
description 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.
format Article
author Azizam NA,
Saperi S,
Aniza Ismail,
Norazirah MN,
Zafar A,
Azura MA,
Tan, WC
Chan, LC
Tey, KE
spellingShingle Azizam NA,
Saperi S,
Aniza Ismail,
Norazirah MN,
Zafar A,
Azura MA,
Tan, WC
Chan, LC
Tey, KE
Cost analysis of psoriasis treatment modalities in Malaysian public hospitals
author_facet Azizam NA,
Saperi S,
Aniza Ismail,
Norazirah MN,
Zafar A,
Azura MA,
Tan, WC
Chan, LC
Tey, KE
author_sort Azizam NA,
title Cost analysis of psoriasis treatment modalities in Malaysian public hospitals
title_short Cost analysis of psoriasis treatment modalities in Malaysian public hospitals
title_full Cost analysis of psoriasis treatment modalities in Malaysian public hospitals
title_fullStr Cost analysis of psoriasis treatment modalities in Malaysian public hospitals
title_full_unstemmed Cost analysis of psoriasis treatment modalities in Malaysian public hospitals
title_sort cost analysis of psoriasis treatment modalities in malaysian public hospitals
publisher Pusat Perubatan Universiti Kebangsaan Malaysia
publishDate 2019
url http://journalarticle.ukm.my/15210/1/2_ms0204_pdf_63890.pdf
http://journalarticle.ukm.my/15210/
http://www.medicineandhealthukm.com/toc/14/1
_version_ 1678593696482721792
score 13.211869

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