Methods for Estimating Medical Expenditures Attributable to Intimate Partner Violence
Methods for Estimating Medical Expenditures Attributable to Intimate Partner Violence
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DOI：
10.1177/0886260508314338
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发表时间：
2008-12-01
影响因子：
2.5
通讯作者：
Mercy, James A.
中科院分区：
文献类型：
--
作者：
Brown, Derek S.;Finkelstein, Eric A.;Mercy, James A.
本文比较了三种方法来估计对美国成年妇女（18岁及以上）的亲密伴侣暴力的医疗费用负担，1年后受害。为了计算估计数，将全国暴力侵害妇女行为调查的流行率数据与医疗支出小组调查、医疗保险5%样本和已发表研究的费用数据以及已发表研究的相对风险估计数相结合。结果进行了比较，并探讨了差异的原因，包括每种方法的优点和缺点。在受害后的头12个月内，亲密伴侣暴力的医疗费用负担估计在23亿美元至70亿美元之间，这取决于所使用的方法。尽管仅限于去年的受害妇女，但每种方法都表明，亲密伴侣暴力给保健系统造成了巨大负担。在这些方法中，没有明确的黄金标准，也没有任何偏见的证据。
This article compares three methods for estimating the medical cost burden of intimate partner violence against U.S. adult women (18 years and older), 1 year postvictimization. To compute the estimates, prevalence data from the National Violence Against Women Survey are combined with cost data from the Medical Expenditure Panel Survey, the Medicare 5% sample, and published studies and with relative risk estimates from published studies. Results are compared and reasons for difference are explored, including the advantages and disadvantages of each approach. Estimates of the medical cost burden of intimate partner violence within the first 12 months after victimization range from $2.3 billion to $7.0 billion, depending on the method used. Although limited to women victimized in the last year, each method reveals that intimate partner violence imposes a substantial burden on the health care system. Among the approaches, there is no clear gold standard nor any evidence of bias.