Gender effects on health care costs in cardiovascular medicine-a black box?
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Gender effects on health care costs in cardiovascular medicine-a black box? / Gulbins, Helmut; Vogel, Beatrice; Reichenspurner, Hermann.
In: THORAC CARDIOV SURG, Vol. 61, No. 1, 01.2013, p. 74-78.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Gender effects on health care costs in cardiovascular medicine-a black box?
AU - Gulbins, Helmut
AU - Vogel, Beatrice
AU - Reichenspurner, Hermann
N1 - Georg Thieme Verlag KG Stuttgart · New York.
PY - 2013/1
Y1 - 2013/1
N2 - INTRODUCTION: Gender differences were documented for several diseases. This might influence treatment costs for the insurance companies as well as reimbursement of the health care facilities. This manuscript deals with the possible economic implications of gender-related differences in cardiovascular medicine.METHODS: A systematical review of the literature reporting the impact of gender on health care costs with special focus on cardiovascular medicine.RESULTS: Women cause higher health care costs during their lifetime, but large part of the difference compared with men is caused by pregnancy and birth, not by diseases. However, after subtracting the costs for pregnancy and birth, there still remains a difference with higher costs for women, although the origin of this disparity is not definitely clear up to date. In cardiovascular medicine, especially the risk factor metabolic syndrome including diabetes had a higher prevalence in women and was shown to have a greater impact on cardiovascular disease compared with men. This concerned both costs and outcome. But in contrast to this, women experienced poorer preventive treatment of their metabolic syndrome, especially with regards to lipid levels. This influenced the costs of hospital treatment as well as the prognosis, for example, following coronary bypass grafting.COMMENTS: The higher influence of several risk factors on cardiovascular disease in women should lead to improved preventive strategies in female patients. Further research is necessary to give more evidence for gender-related differences within the impact of several risk factors on treatment costs. This could then also influence reimbursement strategies taking these gender disparities into account.
AB - INTRODUCTION: Gender differences were documented for several diseases. This might influence treatment costs for the insurance companies as well as reimbursement of the health care facilities. This manuscript deals with the possible economic implications of gender-related differences in cardiovascular medicine.METHODS: A systematical review of the literature reporting the impact of gender on health care costs with special focus on cardiovascular medicine.RESULTS: Women cause higher health care costs during their lifetime, but large part of the difference compared with men is caused by pregnancy and birth, not by diseases. However, after subtracting the costs for pregnancy and birth, there still remains a difference with higher costs for women, although the origin of this disparity is not definitely clear up to date. In cardiovascular medicine, especially the risk factor metabolic syndrome including diabetes had a higher prevalence in women and was shown to have a greater impact on cardiovascular disease compared with men. This concerned both costs and outcome. But in contrast to this, women experienced poorer preventive treatment of their metabolic syndrome, especially with regards to lipid levels. This influenced the costs of hospital treatment as well as the prognosis, for example, following coronary bypass grafting.COMMENTS: The higher influence of several risk factors on cardiovascular disease in women should lead to improved preventive strategies in female patients. Further research is necessary to give more evidence for gender-related differences within the impact of several risk factors on treatment costs. This could then also influence reimbursement strategies taking these gender disparities into account.
KW - Cardiovascular Diseases/diagnosis
KW - Female
KW - Health Care Costs
KW - Health Status Disparities
KW - Healthcare Disparities/economics
KW - Hospital Costs
KW - Humans
KW - Insurance, Health, Reimbursement/economics
KW - Male
KW - Maternal Health Services/economics
KW - Pregnancy
KW - Prognosis
KW - Risk Factors
KW - Sex Factors
KW - Women's Health Services/economics
U2 - 10.1055/s-0032-1328931
DO - 10.1055/s-0032-1328931
M3 - SCORING: Review article
C2 - 23225508
VL - 61
SP - 74
EP - 78
JO - THORAC CARDIOV SURG
JF - THORAC CARDIOV SURG
SN - 0171-6425
IS - 1
ER -