Health care utilization and the associated costs attributable to cardiovascular disease in Ireland: a cross-sectional study

Simple item page
dc.contributor.authorStamenic, Danko
dc.contributor.authorFitzgerald, Anthony P.
dc.contributor.authorGajewska, Katarzyna A.
dc.contributor.authorO’Neill, Kate N.
dc.contributor.authorBermingham, Margaret
dc.contributor.authorCronin, Jodi
dc.contributor.authorLynch, Brenda M.
dc.contributor.authorO’Brien, Sarah M.
dc.contributor.authorMcHugh, Sheena M.
dc.contributor.authorBuckley, Claire M.
dc.contributor.authorKavanagh, Paul M.
dc.contributor.authorKearney, Patricia M.
dc.contributor.authorO’Keeffe, Linda M.
dc.date.accessioned2026-03-05T12:50:02Z
dc.date.available2026-03-05T12:50:02Z
dc.date.issued2025-01-01
dc.description.abstractBackground Cardiovascular disease (CVD) is the leading cause of mortality and disability globally. We examined healthcare service utilization and costs attributable to CVD in Ireland in the period before the introduction of a major healthcare reform in 2016. Methods Secondary analysis of data from 8113 participants of the first wave of The Irish Longitudinal Study on Ageing. Cardiovascular disease was defined as having a self-reported doctor’s diagnosis of myocardial infarction, angina, heart failure, stroke, atrial fibrillation, or transient ischaemic attack. Participants self-reported the utilization of healthcare services in the year preceding the interview. Negative binomial regression with average marginal effects (AMEs) was used to estimate the incremental number of general practitioner (GP) and outpatient department (OPD) visits, accident and emergency department attendances and hospitalizations in population with CVD relative to population without CVD. We calculated the corresponding costs at individual and population levels, by gender and age groups. Results The prevalence of CVD was 18.2% (95% CI: 17.3, 19.0) Participants with CVD reported higher utilization of all healthcare services. In adjusted models, having CVD was associated with incremental 1.19 [95% confidence interval (CI): 0.99, 1.39] GP and 0.79 (95% CI: 0.65, 0.93) OPD visits. There were twice as many incremental hospitalizations in males with CVD compared to females with CVD [AME (95% CI): 0.20 (0.16, 0.23) vs. 0.10 (0.07, 0.14)]. The incremental cost of healthcare service use in population with CVD was an estimated €352.2 million (95% CI: €272.8, €431.7), 93% of which was due to use of secondary care services. Conclusion We identified substantially increased use of healthcare services attributable to CVD in Ireland. Continued efforts aimed at CVD primary prevention and management are required.en
dc.description.versionPublished Version
dc.format.extent10
dc.format.mimetypeapplication/pdfen
dc.identifier.authororcidStamenic, Danko
dc.identifier.authororcidFitzgerald, Anthony P.
dc.identifier.authororcidGajewska, Katarzyna A.
dc.identifier.authororcidO’Neill, Kate N.
dc.identifier.authororcidBermingham, Margaret§0000-0002-8692-1569
dc.identifier.authororcidCronin, Jodi§0000-0001-7791-663X
dc.identifier.authororcidLynch, Brenda M.
dc.identifier.authororcidO’Brien, Sarah M.
dc.identifier.authororcidMcHugh, Sheena M.§0000-0002-6595-0491
dc.identifier.authororcidBuckley, Claire M.
dc.identifier.authororcidKavanagh, Paul M.
dc.identifier.authororcidKearney, Patricia M.§0000-0001-9599-3540
dc.identifier.authororcidO’Keeffe, Linda M.
dc.identifier.citationStamenic, D, Fitzgerald, A P, Gajewska, K A, O’Neill, K N, Bermingham, M, Cronin, J, Lynch, B M, O’Brien, S M, McHugh, S M, Buckley, C M, Kavanagh, P M, Kearney, P M & O’Keeffe, L M 2025, 'Health care utilization and the associated costs attributable to cardiovascular disease in Ireland: a cross-sectional study', European Heart Journal - Quality of Care and Clinical Outcomes, vol. 11, no. 1, pp. 37-46. https://doi.org/10.1093/ehjqcco/qcae014, https://doi.org/10.1101/2023.09.18.23295706
dc.identifier.doi10.1093/ehjqcco/qcae014
dc.identifier.endpage46
dc.identifier.issn2058-5225
dc.identifier.issued1
dc.identifier.journaltitleEuropean Heart Journal - Quality of Care and Clinical Outcomes
dc.identifier.otherORCID: /0000-0001-9599-3540/work/196578371
dc.identifier.otherORCID: /0000-0002-6595-0491/work/197431670
dc.identifier.otherORCID: /0000-0002-8692-1569/work/197983348
dc.identifier.startpage37
dc.identifier.urihttps://hdl.handle.net/10468/18601
dc.identifier.volume11
dc.language.isoen
dc.publisherOxford University Press
dc.relation.urihttps://doi.org/10.1101/2023.09.18.23295706
dc.rightsPublisher Copyright: © The Author(s) 2024.
dc.rights.accessrightsopen access
dc.statusPeer reviewed
dc.subjectCardiovascular disease
dc.subjectDirect costs
dc.subjectHealthcare use
dc.subjectIreland
dc.titleHealth care utilization and the associated costs attributable to cardiovascular disease in Ireland: a cross-sectional studyen
dc.typeArticle (peer-reviewed)
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Stamenic_et_al_EHJ_QCCO_March_2024.pdf
Size:
900.34 KB
Format:
Adobe Portable Document Format
Description:
Published Version
Download
Collections
School of Public Health
Cork University Business School
School of Mathematical Sciences
School of Pharmacy