Disability indices, the economic costs of illness, and social insurance: the case of multiple sclerosis.

Disability indices, the economic costs of illness, and social insurance: the case of multiple sclerosis.
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残疾指数、疾病的经济成本和社会保险:以多发性硬化症为例。

DOI:
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发表时间:
2009
期刊:
Acta Neurologica Scandinavica, Supplementum
影响因子:
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通讯作者:
R. Inman
R. Inman
中科院分区:
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文献类型:
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作者:
R. Inman

文献摘要

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使人衰弱的长期疾病会给受疾病影响的家庭和更广泛的社会带来重大的经济困难。除了进行医学研究以找到治疗或预防这些疾病的方法外,社会不妨在过渡期间拨出资源,补偿受这种疾病影响的家庭所遭受的经济损失。这种补偿将采取社会保险方案的形式。社会最佳保险方案需要两个关键信息:(一)身体残疾指数和(二)对该指数衡量的每一残疾阶段相关经济损失的准确评估。本文报告了使用美国数据为一种长期致残疾病:多发性硬化症提供这两个重要事实的初步尝试。
Debilitating, long-term illness can impose a significant economic hardship on families affected with the illness and on the wider society as well. In addition to medical research to find a cure or a prevention for such illnesses, society may wish, in the interim, to allocate resources to compensate the families burdened by the illness for the economic losses they have suffered. Such compensation will take the form of a social insurance program. The socially optimal insurance program requires two crucial pieces of information: (i) an index of physical disability and (ii) an accurate assessment of the economic losses associated with each stage of disability as measured by that index. This paper reports on an initial attempt using U.S. data to provide these two important facts for one long-term, disabling illness: multiple sclerosis.