THE EPIDEMIOLOGY OF DISEASE EXPENSES - THE COSTS OF CARING FOR CHILDREN WITH CANCER
THE EPIDEMIOLOGY OF DISEASE EXPENSES - THE COSTS OF CARING FOR CHILDREN WITH CANCER
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DOI：
10.1001/jama.253.16.2393
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发表时间：
1985-01-01
影响因子：
120.7
通讯作者：
EVANS, AE
中科院分区：
文献类型：
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作者：
BLOOM, BS;KNORR, RS;EVANS, AE
随着时间的推移，569名恶性肿瘤儿童的医疗费用和家庭自付费用被确定。所有医疗费用（住院和门诊）、家庭自付费用和工资损失均已收取并按年计算。每患者年的癌症护理和治疗的平均成本为29，708美元，诊断，预后和诊断后的年份有所不同。平均每年住院费用为15,455美元，平均门诊护理费用为3806美元，家庭自付疾病相关费用为9787美元。家庭自付费用增加了约50%的疾病相关护理总费用，消耗了家庭年总收入的38%;工资损失占近1/2。大约95%的医疗费用由私人、公共或慈善机构支付。家庭负担的自付医疗费用每年约为1000美元。然而，所有与疾病有关的非医疗费用都由家庭支付。
Medical costs and family out-of-pocket expenses were determined over time for 569 children with malignant neoplasms. All medical charges (inpatient and outpatient), family out-of-pocket expenses and wages lost were collected and annualized. The mean cost of cancer care and treatment per patient-year was $29,708, with variation by diagnosis, prognosis and year since diagnosis. The mean annual hospital impatient cost was 15,455; mean ambulatory care cost, $3806; and family out-of-pocket diseases-related expenses, $9787. Family out-of-pocket expenses added about 50% to the total cost of disease-related care and consumed 38% of gross annual family income; wages lost accounted for nearly 1/2. About 95% of all medicals costs were paid by private, public or charitable payers. Out-of-pocket medical expenses for which the family was responsible were about $1000 each year. However, all nonmedical, disease-related expenses were paid by the family.