The socioeconomic consequences of multiple sclerosis: A controlled national study
The socioeconomic consequences of multiple sclerosis: A controlled national study
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DOI：
10.1016/j.euroneuro.2011.05.001
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发表时间：
2012-01-01
影响因子：
5.6
通讯作者：
Kjellberg, Jakob
中科院分区：
文献类型：
--
作者：
Jennum, Pout;Wanscher, Benedikte;Kjellberg, Jakob
多发性硬化症（MS）对患者及其家庭的健康，社会和工作相关问题产生严重的负面影响，从而造成重大的社会经济负担。这项研究的目的是确定医疗保健费用和间接疾病费用在MS患者在全国样本。我们使用了丹麦国家患者登记处（1998-2006）的所有国家记录，并确定了10，849名MS患者，与43，396名随机年龄，性别和社会匹配的公民进行了比较。医疗保健部门的成本包括住院和加权门诊使用的频率和成本、就诊和住院频率和初级部门的成本以及药物的使用和成本。还计算了生产力成本（因病缺勤造成的生产力损失价值）和所有社会转移支付。MS患者的健康相关接触和药物使用率显着较高，就业率非常低，导致社会经济成本较高。就业的MS患者的收入水平显着低于对照组。MS患者的年度卫生部门总成本和生产力成本为14，575（原文如此），对照组为1163（原文如此）（p
Multiple sclerosis (MS) has serious negative effects on health-, social-, and work-related issues for the patients and their families, thus causing significant socioeconomic burden. The objective of the study was to determine healthcare costs and indirect illness costs in MS patient in a national sample. We used all national records from the Danish National Patient Registry (1998-2006), and identified 10,849 MS patients which were compared with 43,396 randomly age-, sex- and social matched citizens. Healthcare sector costs included frequencies and costs of hospitalizations and weighted outpatient use, frequencies of visits and hospitalizations and costs from primary sectors, and the use and costs of drugs. Productivity costs (the value of lost productivity from time off from work due to illness) and all social transfer payments were also calculated. Patients with MS had significantly higher rates of health-related contact and medication use and very low employment rate which incurred a higher socioeconomic cost. The income level of employed MS patients was significantly lower than that of control subjects. The annual total health sector costs and productivity costs were (sic)14,575 for MS patients vs. (sic)1163 for control subjects (p