Ferrari M D
Department of Neurology, Leiden University Medical Centre, The Netherlands.
Pharmacoeconomics. 1998 Jun;13(6):667-76. doi: 10.2165/00019053-199813060-00003.
The financial burden of migraine on society comprises direct costs, associated with medical care, and indirect costs, caused by absence from work and reduced productivity. Recent studies have revealed that direct costs are generally relatively low in Europe, but are much higher in North America, probably because of increased use of emergency room and specialist consultations for the treatment of migraine. Most individuals who experience migraine headaches take medication (over-the-counter, prescription-only or a combination of both) for their condition; in Europe and North America, most patients who experience migraines have consulted a physician at some time because of their condition. In general, the estimated indirect costs of migraine are substantial and are much higher than estimates of direct costs. On average, work losses related to reduced productivity are higher than those related to work absence. These data demonstrate the importance of the societal impact of migraine and illustrate the need for improved strategies to target migraine treatment.
偏头痛给社会带来的经济负担包括与医疗保健相关的直接成本，以及因旷工和生产力下降导致的间接成本。最近的研究表明，欧洲的直接成本通常相对较低，但在北美则要高得多，这可能是因为用于偏头痛治疗的急诊室和专科会诊使用增加。大多数经历偏头痛的人会针对自己的病情服用药物（非处方药、仅处方用药或两者结合）；在欧洲和北美，大多数经历偏头痛的患者因病情曾在某个时候咨询过医生。一般来说，偏头痛的间接成本估计很高，远高于直接成本的估计。平均而言，与生产力下降相关的工作损失高于与旷工相关的损失。这些数据证明了偏头痛对社会影响的重要性，并说明了需要改进针对偏头痛治疗的策略。
