The Cost of Chronic Pain: An Analysis of a Regional Pain Management Service in Ireland
The Cost of Chronic Pain: An Analysis of a Regional Pain Management Service in Ireland
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DOI：
10.1111/pme.12202
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发表时间：
2013-10-01
期刊：
影响因子：
3.1
通讯作者：
McGuire, Brian E.
中科院分区：
文献类型：
--
作者：
Gannon, Brenda;Finn, David P.;McGuire, Brian E.
本研究的目的是收集爱尔兰疼痛管理诊所患者慢性疼痛的直接和间接经济成本数据。设置三级疼痛管理诊所，服务于爱尔兰西部城乡混合地区。设计数据收集自100名患者，使用客户服务收据清单，并侧重于慢性疼痛的直接和间接成本。方法卫生服务利用、支付方式和相关社会人口统计学。将单位成本乘以资源使用数据，得出全额成本。成本驱动因素，然后estimated.ResultsOur研究显示，在12个月的时间内，每位患者的成本为24，043美元。其中一半以上归因于工资替代成本和因疼痛而无法工作的人的生产力损失。住院时间和门诊医院服务的主要驱动力的医疗保健利用成本，共同占63%的直接医疗费用，每参加疼痛clinic.ConclusionThe成本的慢性疼痛之间的密集服务用户是显着的，当外推到人口水平，这些费用代表了一个非常可观的经济负担。
ObjectiveThe objective of the study was to collect data on the direct and indirect economic cost of chronic pain among patients attending a pain management clinic in Ireland.SettingA tertiary pain management clinic serving a mixed urban and rural area in the West of Ireland.DesignData were collected from 100 patients using the Client Services Receipt Inventory and focused on direct and indirect costs of chronic pain.MethodsPatients were questioned about health service utilization, payment methods, and relevant sociodemographics. Unit costs were multiplied by resource use data to obtain full costs. Cost drivers were then estimated.ResultsOur study showed a cost per patient of US$24,043 over a 12-month period. Over half of this was attributable to wage replacement costs and lost productivity in those unable to work because of pain. Hospital stays and outpatient hospital services were the main drivers for health care utilization costs, together accounting for 63% of the direct medical costs per study participant attending the pain clinic.ConclusionThe cost of chronic pain among intensive service users is significant, and when extrapolated to a population level, these costs represent a very substantial economic burden.