THE IMPACT OF INDIRECT COSTS ON OUTCOMES OF HEALTH-CARE PROGRAMS

THE IMPACT OF INDIRECT COSTS ON OUTCOMES OF HEALTH-CARE PROGRAMS
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DOI:
10.1002/hec.4730030606
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发表时间:
1994-11-01
期刊:
影响因子:
2.1
通讯作者:
RUTTEN, FFH
RUTTEN, FFH
中科院分区:
医学3区
文献类型:
--
作者:
KOOPMANSCHAP, MA;RUTTEN, FFH

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包括疾病的间接成本(由于缺乏工作,残疾和死亡率)对特定的医疗保健计划的经济评估结果的影响进行了分析。 对于八个医疗保健项目,间接成本的变化是使用摩擦成本法估计的,该方法旨在估计疾病造成的经济损失或医疗保健项目的经济收益。 间接成本对结果的影响在各个方案之间有很大差异。 如果保健方案在短期内对健康产生影响,如果(短期)缺勤受到很大影响,如果目标人口中有很大一部分人在受益于该方案时就业,则间接费用往往会发挥重要作用。 与缺勤和残疾有关的可能的治疗诱导也可能是相关的。
The impact of including indirect costs of disease (as a result of absence from work, disability and mortality) on outcomes of economic evaluations of specific health care programs is analyzed. For eight health care programs, changes in indirect costs are estimated using the friction cost method, that seeks to estimate the economic losses due to disease or the economic gains of health care programs. The impact of indirect costs on outcomes varies considerably across programs. Indirect costs tend to play an important role if health care programs produce health effects in the short run, if (short term) absence from work is affected considerably and if a significant proportion of the target population is employed at the moment they benefit from the program. The possible induction of treatment related absence from work and disability may also be relevant.