Socioeconomic aspects of arrhythmias treatment in Poland in comparison with other EU countries- systematic report.
 
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1
Institute of Cardiology
2
National Institute of Public Health – National Institute of Hygiene, Warsaw, Poland
3
Institute of Management in Health Care, Lazarski University, Warsaw, Poland
4
National Health Fund
5
Institute of Cardiology in Warsaw
6
Pomeranian Medical University, Poland
CORRESPONDING AUTHOR
Łukasz Jan Szumowski   

Institute of Cardiology in Warsaw, Alpejska 42, 04-620 W-wa, 04-620 Warszawa, Poland
Publication date: 2017-08-03
 
Heart Beat 2016;1:83–89
 
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ABSTRACT
Background:
In the current clinical electrophysiology a lot of effective concepts regarding the diagnostic and treatment of arrhythmias have been introduced. A further improvement in the cost-benefit and the cost-effectiveness in cardiac electrophysiology depend on the technical progress and on the funding mechanisms. There is a lack of information on interventional treatment of arrhythmias in Poland and high demand of validated information.

Material and methods:
Based on the 2014-2015 National Health Fund (NHF) data, Social Insurance Institution (ZUS) data a group of healthcare system experts prepare the report about current status of polish arrhythmia care.

Results:
NHF reimburse approximately 250 million PLN per year by financing ablation procedures. It would not ensure the growing health needs of all patients with arrhythmias eligible for this treatment.

Conclusions:
Proper distribution of reimbursement in the field of electrophysiology should be optimized to avoid very high indirect costs of arrhythmia complications- strokes, work disability and rehabilitation.

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