The economic burden of back pain in the UK

The economic burden of back pain in the UK
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DOI:
10.1016/s0304-3959(99)00187-6
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发表时间:
2000-01-01
期刊:
影响因子:
7.4
通讯作者:
Gray, A
Gray, A
中科院分区:
医学1区
文献类型:
--
作者:
Maniadakis, N;Gray, A

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本文报告了英国背痛社会经济成本的“疾病成本”研究结果。据估计,1998年背痛的直接医疗费用为16.32亿英镑。大约 35% 的成本与私营部门提供的服务有关,因此很可能由患者及其家人直接支付。就不同提供者之间的成本分配而言,37%与物理治疗师和相关专家提供的护理有关,31%与医院部门有关,14%与初级保健有关,7%与药物有关,6%与社区护理有关,5%与用于调查目的的放射学和成像有关。然而,与非正式护理的成本以及与之相关的生产损失(总计 106.68 亿英镑)相比,背痛的直接成本微不足道。总体而言,背痛是英国进行的经济分析中成本最高的疾病之一,这与其他国家的研究结果一致。需要进一步研究来确定替代背痛治疗的成本效益,从而最大限度地降低成本并最大限度地提高该领域所用资源的健康效益。 (C) 2000 年国际疼痛研究协会。由 Elsevier Science B.V. 出版
This paper reports the results of a 'cost-of-illness' study of the socio-economic costs of back pain in the UK. It estimates the direct health care cost of back pain in 1998 to be pound 1632 million. Approximately 35% of this cost relates to services provided in the private sector and thus is most likely paid for directly by patients and their families. With respect to the distribution of cost across different providers, 37% relates to care provided by physiotherapists and allied specialists, 31% is incurred in the hospital sector, 14% relates to primary care, 7% to medication, 6% to community care and 5% to radiology and imaging used for investigation purposes. However, the direct cost of back pain is insignificant compared to the cost of informal care and the production losses related to it, which total pound 10668 million. Overall, back pain is one of the most costly conditions for which an economic analysis has been carried out in the UK and this is in line with findings in other countries. Further research is needed to establish the cost-effectiveness of alternative back pain treatments, so as to minimise cost and maximise the health benefit from the resources used in this area. (C) 2000 International Association for the Study of Pain. Published by Elsevier Science B.V.