The European Journal of Health Economics

, Volume 11, Issue 5, pp 449–455 | Cite as

Expenditures of the German statutory health insurance system for patients suffering from acute coronary syndrome and treated with percutaneous coronary intervention

  • Heiko FriedelEmail author
  • Anne Delges
  • Johannes Clouth
  • Dana T. Trautvetter
Original Paper


Patients with acute coronary syndrome (ACS) are in need of cost-intensive treatment involving different aspects of the German Health System. Percutaneous coronary intervention (PCI) is the treatment of choice for a large proportion of cases. In the present study, an analysis of the cost impact of ACS with focus on PCI therapy was conducted across-the-board for the German Health System. Results indicated that 85% of all costs arising from treatment of ACS with a trial of PCI are due to in-patient care. Projection of results onto the entire insurant collective of the statutory health system estimated a total of €954,995,603—a proportional 0.7% of all expenditure by statutory health insurances in 2005.


Acute coronary syndrome Myocardial infarction Percutaneous transluminal angioplasty Cost analysis 

JEL Classification

I11 G22 



This study was supported by Lilly Deutschland GmbH and Daiichi Sankyo Co Ltd. Cooperation with company health insurance funds (BKK) made it possible to analyse health care data of insured persons.


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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Heiko Friedel
    • 1
    Email author
  • Anne Delges
    • 1
  • Johannes Clouth
    • 2
  • Dana T. Trautvetter
    • 1
  1. 1.Institut für Prävention und Gesundheitsförderung an der Universität Duisburg-EssenEssenGermany
  2. 2.Department of Health Care RelationsLilly Deutschland GmbHBad HomburgGermany

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