Page 128 - Azerbaijan State University of Economics
P. 128
Christian Elsner, Dennis Häckl: Health Economic value generation in the Azerbaijan Republic:
simulatedresults for a integrated telecardiology care program
Keywords: Azerbaijan Republic,Economic feasibility, Health Economics, Reinsurance,
Disease Management, Simulation, Modelling, Cardiac monitoring
JEL Classification codes: I 15
I. INTRODUCTION
Economic feasibility studies for Health-Technology Assessment (HTA) become more and
more important over time. While the data situation is quite good in industrialized countries, it is
quite hard to predict health economic values in countries with a developing healthcare system.
For a fast and efficient approach simulations may help to predict economic feasibility effects.
This way providers and payors may be enabled better in establishing new therapeutic options for
patients and predicting the effects for the different parameters.
To evaluate the approach of a “predictive” simulation including “missing data” from a
certain healthcare system, a german simulation model for “chronic heart failure” (CHF) was
adapted and “feeded” with the available data from the Azerbaijan Republic (AR) healthcare
system. The model and the generated data may helpto develop the CHF approach and product
development related considerations in the AR.
The simulation for CHF care taken into account is a plain simple telemedical care program
– not very technical sophisticated and not expensive at all. The mechanism behind it is a weight
and bloodpressure tele-measurement system combined with a two-weekly call.
II. THE AZERBAIJAN REPUBLIC HEALTHCARE SYSTEM AND CHF CARE
In the Azerbaijan Republic (AR) the role of voluntary health insurance and donor funding is
small and the main sources of funding for health care are out of pocket payments (61.5%) and
general government expenditure (31.5%) [World Health Organization. Azerbaijan. National Health
Accounts Series 2009. Geneva: WHO, 2009. http://www.who.int/nha/country/aze.pdf]. In the year
128
