“China’s health care system has undergone considerable changes toward a ‘fee for service’ model where access to treatment is affected by a patient’s ability to pay,” said Professor GAO Runlin, Chairman of the Chinese Society of Cardiology. Professor GAO reported that the level of treatment given to a heart patient in China did not directly equate to the patient’s risk of subsequent death or disability.
Researchers, at The George Institute for International Health in Sydney and the Chinese Society of Cardiology discovered that, while effective treatments are often available, the decision to provide more costly treatments in hospital was not determined primarily by the likelihood of clinical benefit, but rather by a patient’s socioeconomic status, or ability to pay for services. The study also found that relatively inexpensive drug therapies that are highly effective in reducing the risks of future heart attack were frequently prescribed to patients on discharge from hospital, but a patient’s use of these drugs diminished rapidly once they went home.
Coronary heart disease has emerged as a leading cause of morbidity and premature death in China today. As the burden of cardiovascular diseases rise in China, so will the numbers of patients presenting with heart attack and related complications. Statistics from the World Health Organization’s Global Burden of Diseases Study predict deaths from cardiovascular diseases in China are likely to quadruple to four million per year by 2020.
“Patterns of current practice in managing Acute Coronary Syndromes, commonly known as heart attack and severe angina, reflect choices made by our clinicians towards prescription of expensive interventions. By identifying the gaps in both treatment and cost-efficiency, steps can be taken to reduce the impact of one the worlds, and China’s, leading killers” said Professor GAO.
The results are from the Clinical Pathways for the Management of Acute Coronary Syndromes project (CPACS), which was jointly developed by the Chinese Society of Cardiology and The George Institute for International Health to review how patients suffering from acute coronary syndromes are being managed at hospitals across China.
Data was collected from almost 3000 patients in over 50 hospitals from 18 provinces of China. Patients who were admitted to hospital with a diagnosis of an acute coronary syndrome were assessed during hospitalisation and in the first six months after discharge.
Co-principal Investigator for the CPACS study, Dr Anushka Patel, at The George Institute for International Health, believes that the situation found in China is by no means unique to that country. “The early data indicate that China is confronting similar challenges as those experienced in other countries. There is evidence that guidelines for ACS management can promote cost-effective care and improve patient outcomes. However, in addition to approaches directed at promoting guidelines adherence within hospitals and amongst clinicians, health care system reform is the likely key to future success,” Dr Patel stated.
“Many opportunities for improving patient care and for cost-effective allocation of scarce resources for the management of ACS are available in China. These include earlier presentation to hospital, earlier treatment following heart attack, better risk stratification, and reduced length of hospitalisation,” added Professor GAO.
The two year project is also supported by Sanofi-Aventis, China, Guidant Corporation and the Royal Australasian College of Physicians.
Emma Orpilla | alfa
WAKE-UP provides new treatment option for stroke patients | International study led by UKE
17.05.2018 | Universitätsklinikum Hamburg-Eppendorf
First form of therapy for childhood dementia CLN2 developed
25.04.2018 | Universitätsklinikum Hamburg-Eppendorf
A research team led by physicists at the Technical University of Munich (TUM) has developed molecular nanoswitches that can be toggled between two structurally different states using an applied voltage. They can serve as the basis for a pioneering class of devices that could replace silicon-based components with organic molecules.
The development of new electronic technologies drives the incessant reduction of functional component sizes. In the context of an international collaborative...
At the LASYS 2018, from June 5th to 7th, the Laser Zentrum Hannover e.V. (LZH) will be showcasing processes for the laser material processing of tomorrow in hall 4 at stand 4E75. With blown bomb shells the LZH will present first results of a research project on civil security.
At this year's LASYS, the LZH will exhibit light-based processes such as cutting, welding, ablation and structuring as well as additive manufacturing for...
There are videos on the internet that can make one marvel at technology. For example, a smartphone is casually bent around the arm or a thin-film display is rolled in all directions and with almost every diameter. From the user's point of view, this looks fantastic. From a professional point of view, however, the question arises: Is that already possible?
At Display Week 2018, scientists from the Fraunhofer Institute for Applied Polymer Research IAP will be demonstrating today’s technological possibilities and...
So-called quantum many-body scars allow quantum systems to stay out of equilibrium much longer, explaining experiment | Study published in Nature Physics
Recently, researchers from Harvard and MIT succeeded in trapping a record 53 atoms and individually controlling their quantum state, realizing what is called a...
The historic first detection of gravitational waves from colliding black holes far outside our galaxy opened a new window to understanding the universe. A...
02.05.2018 | Event News
13.04.2018 | Event News
12.04.2018 | Event News
24.05.2018 | Ecology, The Environment and Conservation
24.05.2018 | Medical Engineering
24.05.2018 | Physics and Astronomy