COSTS OF RHEUMATOID-ARTHRITIS - PATIENT-ORIENTED STUDY OF CHRONIC DISEASE COSTS
COSTS OF RHEUMATOID-ARTHRITIS - PATIENT-ORIENTED STUDY OF CHRONIC DISEASE COSTS
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DOI：
10.1002/art.1780210714
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发表时间：
1978-01-01
影响因子：
--
通讯作者：
EPSTEIN, WV
中科院分区：
文献类型：
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作者：
MEENAN, RF;YELIN, EH;EPSTEIN, WV
为了详细说明慢性病一年的费用，对50名III期类风湿性关节炎患者进行了调查。这一群体的直接医疗费用是全国平均水平的三倍，其中58%由保险支付。收入损失造成的间接成本至少是直接医疗成本的三倍，而转移支付仅覆盖这些成本的42%。58%的研究组也遭受了重大的心理社会损失。未覆盖的收入损失是慢性类风湿关节炎患者的最大经济负担。间接医疗费用与直接医疗费用的惊人比例对医疗实践和卫生政策具有重要意义。
To detail the cost for one year of a chronic disease, 50 patients with Stage III rheumatoid arthritis were surveyed. Direct medical costs for this group were three times the national average, and 58% of these costs were covered by insurance. Indirect costs due to lost income were at least three times the direct medical costs, and transfer payments covered only 42% of these costs. Fifty‐eight percent of the study group also sustained a major psychosocial loss. Uncovered income losses were the greatest economic burden for individuals with chronic rheumatoid arthritis. This striking ratio of indirect to direct medical costs has important implications for medical practice and health policy.