Household costs of 'malaria' morbidity: a study in Matale district, Sri Lanka
Household costs of 'malaria' morbidity: a study in Matale district, Sri Lanka
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DOI：
10.1046/j.1365-3156.2000.00612.x
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发表时间：
2000-09-01
影响因子：
3.3
通讯作者：
Mills, A
中科院分区：
文献类型：
--
作者：
Attanayake, N;Fox-Rushby, J;Mills, A
在斯里兰卡的疟疾流行区马塔莱进行的一项家庭调查中，研究了“疟疾”对家庭的海滨经济后果。平均而言，一个家庭在每个从“疟疾”中完全康复的病人身上花费的总费用为318卢比（7美元）。其中24%为直接成本，44%为患者间接成本，32%为家庭间接成本。在私营部门寻求治疗的人的直接费用更高。值得注意的是，很大一部分直接成本花在了补充性商品上，如维生素和被认为有营养的食品。间接成本是根据住户一级的产出/收入损失来衡量和估价的，而不是使用平均工资率等一般指标。产出和工资损失在患者和家庭的间接成本中所占比例最高。与儿童相比，更多的年轻人和中年人患有“疟疾”，这也给这些年龄组造成了更大的经济损失。妇女往往照顾病人，而不是用自己的劳动来弥补因疾病而失去的生产性工作。我们比较了其他研究人员用于评估间接成本的方法，证明了测量和评估方法对间接成本估计的重大影响，并证明了在这一领域进行方法研究的建议。
Shore-run economic consequences of 'malaria' on households were examined in a household survey in Matale, a malaria-endemic district of Sri Lanka. On average a household incurred a total cost of Rs 318 (US$ 7) per patient who fully recovered from 'malaria'. 24% of this was direct cost, 44% indirect cost for the patient and 32% indirect cost for the household. Direct costs were greater for those seeking treatment in the private sector. Notably a large proportion of direct costs was spent on complementary goods such as vitamins and foods considered to be nutritional. Indirect cost was measured and valued on the basis of output/income losses incurred at the household level rather than using a general indicator such as average wage rate. Loss of output and wages accounted for the highest proportion of the indirect cost of the patients as well as the households. Relative to children, more young adults and middle-aged people had 'malaria' which also caused greater economic loss in these age groups. Women tended to care for patients rather than substitute their labour to cover productive work lost due to illness. We compare the methods used by other researchers for valuing indirect cost, demonstrating the significant impact that methods of measurement and valuation can have on the estimation of indirect cost, and justify the recommendation for methodological research in this area.