Coronary stent placement, how to avoid 'team' costs?

Coronary stenting is a modern method of cardiac intervention, helping to solve coronary artery blockage, relieve angina, prevent and treat myocardial infarction... When the patient no longer responds to drugs, this This is the most effective and least risky method available today. However, the cost of a stent is not small, so patients often have a headache to "weigh" financial before treatment.

In Vietnam, stenting can be done at the cardiology department of some large hospitals... Costs may vary depending on the conditions of each hospital, the patient's condition, the level of payment of the patient. insurance that the patient has... The total cost ranges from 40 - 120 million VND / 1 stent placement.
The reason there is such a difference in the cost of coronary stents in hospitals today is because it depends on the service fees incurred: X-rays, rooms, medicines, allowances, consumables, techniques. Techniques for intervention include simple interventions or complex interventions.
In the cost of stents also depends on many factors such as: type of stent, consumables to support stent placement and the number of stents used by the patient. Similarly, the price of each type of stent also depends on the manufacturer (Europe, America, Japan will have a higher price than China, Thailand...), production generation and distinct features. its.

Prof. Dr. Vo Thanh Nhan - Director of Cardiovascular Center, Vinmec Central Park International General Hospital (HCMC) said: “There are many types of stents. Before placing the stent, the doctor will explain to the patient's family and the patient what type of stent should be placed depending on each specific case. The first and most basic form of stenting is a conventional stent, which has the advantage of being cheap, but the risk of re-occlusion after stenting is 20-30% high. The second type is drug-eluting (drug-coated) stents, which will reduce the risk of restenosis to less than 5%, but the cost is slightly higher than that of conventional stents. Another type is a self-absorbable stent that can completely dissolve after 2 years, but the cost will be higher. ''
Currently, the market for providing this device is more and more exciting, with a variety of origins, especially in price, there is also a large difference in hospitals, making patients worry about possible inadequacies. Therefore, in parallel with financial issues, patients need to consider the quality of machines, equipment and doctors' skills to minimize risks in each intervention.

Modern cardiovascular surgery and interventions are complex and high-cost techniques. When treating, if there is no standard regimen right from the beginning, it is easy to incur expensive costs for the patient.
With the desire to bring cardiovascular patients a scientific treatment regimen, direct access to an optimal regimen similar to famous hospitals in the US at a reasonable cost, from August 2019, the patient Vinmec Central Park International General Hospital (HCMC) has implemented the first Cardiovascular Treatment Package in Vietnam.
This program is a close combination of professional solutions and financial solutions. When participating in the Cardiovascular Treatment Package program at Vinmec Central Park Hospital, patients enjoy all the advantages of the service line model, which has been applied at many cardiovascular centers. leading American hospitals such as: Mayo Clinic, Cleveland Clinic, Pennsylvania...
Accordingly, patients will receive early diagnosis and multi-specialty treatment according to the standard protocol of the prestigious Heart Association in the world. Instead of having only one main doctor or one treatment specialist as usual, patients at Vinmec Central Park will be consulted and agreed on a treatment plan from a team of doctors from many specialties (cardiology, interventional medicine, etc.) Cardiovascular interventions, anesthesia resuscitation, imaging, testing, nutrition...).

This standard protocol will be applied throughout the patient's stay at the hospital. Having access to such an optimal treatment method, patients will avoid having to experiment with different methods, which are costly in terms of money/time and affect the effectiveness of treatment. Patients are also provided with detailed information about their treatment, length of stay and number of follow-up visits – all of which gives the patient full control over their treatment plan.
In addition, after signing a treatment contract with the hospital in this package, the patient only needs to pay a one-time fee. All costs are informed in advance and are not incurred during the treatment. In case the patient does not have 100% of the immediate treatment costs, the hospital provides a suitable financial solution when combining with the military joint stock bank (MB Bank) to allow installment loans for medical expenses.
Currently, the Cardiovascular Treatment Package at Vinmec Central Park applies with 4 techniques:
Percutaneous aortic valve replacement (TAVI) to treat aortic stenosis. Coronary artery bypass surgery is used to treat ischemic cardiomyopathy caused by narrowing of the main coronary arteries and their branches larger than 1 mm. Ventricular septal surgery - a common form of congenital heart disease, accounting for 20% of congenital heart defects in children.