Have a personal or library account? Click to login
Causes of differences in the uptake of cardiac implantation electronic devices in Slovenia in comparison to other countries Cover

Causes of differences in the uptake of cardiac implantation electronic devices in Slovenia in comparison to other countries

Open Access
|Jan 2018

Figures & Tables

Figure 1

Crude utilisation rates of PMs and ICDs in 2011, in 5 European countries according to age group, gender and country.
Crude utilisation rates of PMs and ICDs in 2011, in 5 European countries according to age group, gender and country.

Comparison of the data on numbers of PMs and ICDs from national hospital discharge database with the data published in the European Heart Rhythm Association (EHRA) of the European Society of Cardiology (ESC)_

SloveniaAustriaAll UK EnglandGermanyItaly
YearEHRAHospitalsDiffEHRAHospitalsDiffEHRAHospitalsDiffEHRAHospitalsDiffEHRAHospitalsDiff
Pacemakers
20081100586-88%757076902%4057037734-8%9830089194-10%61300622202%
2009935652-43%79307500-6%39850427017%10217792215-11%6300062215-1%
20101153602-92%77127589-2%371944563618%10342394659-9%6340062202-2%
20111295604-114%781078701%382395054024%10695396013-11%6310062141-2%
20121333667-100%787079501%38770010656796403-11%61300620981%
ICDs
2008961037%110011040%74035086-46%2160020948-3%1800016554-8%
200911114523%12901157-11%507753766%2357422940-3%105001510030%
201010117643%12681176-8%517553443%2507124422-3%111001393320%
201114417417%18051195-51%540454671%2657925219-5%119701410615%
201212219638%119512968%576202653625956-2%120001394314%

Charlson Comorbidity Index – average of weighted CCI scores for each category of device, by country for the year 2011_

AustriaEnglandGermanyItalySlovenia
Overall CCI scores
PM implants0.100.901.630.961.07
ICD implants0.581.322.501.271.52
PM implantsAcute myocardial infarction (AMI)1%1%9%5%6%
Congestive Heart Failure4%15%32%13%23%
DiabetesN/A17%20%11%22%
ICD implantsAMI2%5%35%14%26%
Congestive Heart Failure54%60%91%73%63%
Diabetes0%20%25%13%16%

Main reasons for difference in data in CIEDs uptake in 5 European countries (2008-2012)_

The reason for the difference in the dataA description
The use of Australian coding system valid until 21 December in Slovenia
  • No codes for PM replacement

  • Some codes were valid only until 31 December 2010

  • Not specific enough (no codes for single chamber, dual chamber, BV/CRT, CRT_P or CRT_D procedures)

Only a partial link between financing and DRG coding in Slovenia
  • In Slovenia, coding is considered as an additional administrative burden

No golden rule for the optimal crude utilisation rate
  • In Slovenia, an absolute indication is needed to receive the implant

Variations in relative indications, financial restrictions and other contextual factors across countries
  • Differences in political priorities

  • Different economic developments across countries

  • Differences in decision-making rules on including health care programmes in the basic benefit package

Main reasons for difference in PM and ICD implants crude utilization rate (number of devices/100_000 inhabitants) across 5 European countries, 2008-2012_

Pacemaker implants
AustriaEnglandGermanyItalySlovenia
200867.360.087.274.329.9
200966.568.990.674.632.7
201070.575.794.575.131.2
201171.084.196.075.829.7
201272.4N/A96.477.632.7
AGR

average growth rate

1.8411.912.541.092.26
DOI: https://doi.org/10.2478/sjph-2018-0001 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English
Page range: 1 - 9
Submitted on: Sep 6, 2016
Accepted on: Sep 8, 2017
Published on: Jan 5, 2018
Published by: National Institute of Public Health, Slovenia
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2018 Valentina Prevolnik Rupel, Renata Erker, Marko Divjak, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.