Author Information
Supawadee Suwanno, Songkhla Hospital, ThailandVallop Ditsuwan, Thaksin University, Thailand
Tum Boonrod, Thaksin University, Thailand
Phatthira Thongphlat, Centers of Vector Borne Disease Control 11.3 Surat Thani Province, Thailand
Phatlapha Kaewnu, Ban Khao-Kwan Sub-district Health Promotion Hospital, Thailand
Huda Juma, Thaksin University, Thailand
Abstract
Background: Stroke represents a significant global health burden with escalating incidence rates and healthcare costs. This study analyzes hospitalization costs for stroke patients from both healthcare provider and payer perspectives to inform resource allocation and enhance system efficiency.
Methods: This cross-sectional study examined data from 7,932 stroke patients (ICD-10 codes I60-I69) treated at Songkhla Hospital, Thailand (2019-2023). Analysis included inpatient costs across stroke types, readmission rates, and costs under different Universal Health Coverage schemes using SPSS version 17.
Results: The cohort comprised predominantly males (57.07%), with mean age 64.70 years and median hospital stay of 3 days (IQR: 2–5 days). Ischemic stroke constituted 79.84% of cases, with Universal Coverage Scheme covering 75.57% of patients. Patient volume increased by 23.04% over the study period, with 5.14% one-year readmission rate. Total treatment costs reached USD 6.09 million (THB 198,230,040), with a mean of USD 725 (THB 23,624) per year. Hemorrhagic stroke costs exceeded ischemic stroke by USD 454 (THB 14,802) annually. First-time median costs were USD 342 (THB 11,152) for ischemic and USD 658 (THB 21,451) for hemorrhagic strokes. Diagnosis-Related Groups (DRG) reimbursements were consistently lower than accounting costs, particularly for extended hospitalizations.
Conclusion: Findings demonstrate substantial cost variations between stroke types and payment mechanisms, highlighting the need for DRG system refinement to better reflect actual care costs.
Paper Information
Conference: ACSS2025Stream: Economics and Management
This paper is part of the ACSS2025 Conference Proceedings (View)
Full Paper
View / Download the full paper in a new tab/window
To cite this article:
Suwanno S., Ditsuwan V., Boonrod T., Thongphlat P., Kaewnu P., & Juma H. (2025) A Cross-Sectional Study of Stroke Hospitalization Costs in Secondary Care: Evidence From Southern Thailand (2019-2023) ISSN: 2186-2303 – The Asian Conference on the Social Sciences 2025: Official Conference Proceedings (pp. 565-574) https://doi.org/10.22492/issn.2186-2303.2025.47
To link to this article: https://doi.org/10.22492/issn.2186-2303.2025.47
Comments
Powered by WP LinkPress