The Atlantic divide in coronary heart disease: Epidemiology and patient care in the US and Portugal

Azzone, Vanessa; Resnic, Frederic S.; Melica, Bruno; Teixeira‐Pinto, Armando; Azevedo, Luís Filipe; Nisa, Claudia F.; Bacelar–Nicolau, Leonor; Rocha-Gonçalves, Francisco Nuno; Pereira-Miguel, José; Costa‐Pereira, Altamiro; Normand, Sharon‐Lise T.

doi:10.1016/j.repc.2016.09.021

Revista Portuguesa de Cardiologia

2017

DOI: 10.1016/j.repc.2016.09.021

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The Atlantic divide in coronary heart disease: Epidemiology and patient care in the US and Portugal

Vanessa Azzone

Frederic S. Resnic

Bruno Melica³

et al.

Abstract: Differences in regulatory mechanisms and price regulations have a significant impact on the types of health technologies available in the two countries. However, other factors may influence their adoption and diffusion, and this appears to have a greater impact on mortality, due to acute conditions.

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Cited by 6 publications

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Contribution of high-technology procedures to public healthcare expenditures: the case of ischemic heart disease in Portugal, 2002–2015

Ma,

Timóteo,

Ribeiro

et al. 2024

Int J Health Econ Manag.

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The magnitude of the impact of technological innovations on healthcare expenditure is unclear. This paper estimated the impact of high-technology procedures on public healthcare expenditure for patients with ischemic heart disease (IHD) in Portugal. The Blinder–Oaxaca decomposition method was applied to Portuguese NHS administrative data for IHD discharges during two periods, 2008–2015 vs. 2002–2007 (N = 434,870). We modelled per episode healthcare expenditures on the introduction of new technologies, adjusting for GDP, patient age, and comorbidities. The per episode healthcare expenditure was significantly higher in 2008–2015 compared to 2002–2007 for IHD discharges. The increase in the use of high-technology procedures contributed to 28.6% of this growth among all IHD patients, and to 18.4%, 6.8%, 11.1%, and 29.2% for acute myocardial infarction, unstable angina, stable angina, and other IHDs, respectively. Changes in the use of stents and embolic protection and/or coronary brachytherapy devices were the largest contributors to expenditure growth. High-technology procedures were confirmed as a key driver of public healthcare expenditure growth in Portugal, contributing to more than a quarter of this growth.

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Contribution of high-technology procedures to public healthcare expenditures: the case of ischemic heart disease in Portugal, 2002–2015

Ma,

Timóteo,

Ribeiro

et al. 2024

Int J Health Econ Manag.

View full text Add to dashboard Cite

show abstract

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Gomes

2017

Revista Portuguesa de Cardiologia

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Destaques da Revista Portuguesa de Cardiologia em 2017

Gomes

2018

Revista Portuguesa de Cardiologia

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The Atlantic divide in coronary heart disease: Epidemiology and patient care in the US and Portugal

Cited by 6 publications

References 30 publications

Contribution of high-technology procedures to public healthcare expenditures: the case of ischemic heart disease in Portugal, 2002–2015

Contribution of high-technology procedures to public healthcare expenditures: the case of ischemic heart disease in Portugal, 2002–2015

Missão (quase) impossível

Destaques da Revista Portuguesa de Cardiologia em 2017

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