ASSESSMENT OF THE EXPERIENCE OF PROVIDING REHABILITATIONSERVICES BASED ON THE ANALYSIS OF THE “COST OF ILLNESS”

Abstract

y basis for any product cost proposal and market access activity. Analysis of the ―cost of disease‖ and publications using
this method are important tools to increase the awareness of payers of the cost of disease conditions for health systems and
society. The results of this analysis are useful in discussing public policy issues and can help policy makers determine where
funding should be concentrated.
Purpose: to analyze the "cost of the disease" at the rehabilitation level based on data from the "East Kazakhstan
Regional Rehabilitation Center"
Materials and research methods. The study evaluated rehabilitation services using the Cost of Illness (COI) analysisbased method. This indicator is calculated by the formula direct medical costs + indirect medical costs + indirect costs. The
data for the analysis of direct medical rehabilitation costs were taken from RSE at RVP "East Kazakhstan Rehabilitation
Center" for 2019. The data were presented in M (SD), Me (Q1, Q3), the calculations were carried out in SPSS for Windows
version 20.0.
The results of the study. The most expensive group in need of rehabilitation is the group Z 92.5 ―In a personal history
of rehabilitation procedures‖. In general, there is a high variability of costs in tenge both within groups and between groups
(m (SD); Me (Q1, Q3)): 84408 (14399), 88433 (13473), 49603 (11824), 58742 (54189, 64876) . Nevertheless, the actual cost
of a patient's stay in bed days is significantly higher and amounts to 183218 tenge per month. Temporary inconvenience
costs 89180 tenge per year for 1 person in need of rehabilitation. Despite the low number of people with disabilities among patients (less than 5%), indirect costs for payments may vary, depending on the disability group, from 30,886 to 57021 tenge
per month.
Findings. Evaluation by analysis of the ―cost of the disease‖ method allows decision-makers to create conditions for
further analytical work in order to reduce the burden of disease.