法国糖尿病的成本。

The cost of diabetes in France.

作者信息

Triomphe A, Flori Y A, Costagliola D, Eschwege E

出版信息

Health Policy. 1988;9(1):39-48. doi: 10.1016/0168-8510(88)90116-9.

Abstract

Within an economic framework it is possible to evaluate the direct cost of diabetes. In 1984, for 109 diabetics - 27 insulin-dependent patients (IDD) and 82 non-insulin-dependent patients (NIDD) - of the Paris area, the average cost of diabetes was 7711 francs (Fr) for the IDD and 5892 Fr for the NIDD. This cost is the sum of the medical visits, drugs and hospitalization. The medical expenditures of the NIDD is roughly the same as for the general population (6462 Fr). For the IDD, the main difference concerns the drug expenditures. Moreover, in 1984, there is more home-care than in 1978. Lastly, there is little difference between prescription use in the U.S. and in France. Such results allow us to discuss the reimbursement of the care needed for diabetics.

摘要

在一个经济框架内，可以评估糖尿病的直接成本。1984年，针对巴黎地区的109名糖尿病患者——27名胰岛素依赖型患者（IDD）和82名非胰岛素依赖型患者（NIDD），IDD患者的糖尿病平均成本为7711法郎（Fr），NIDD患者为5892法郎。这个成本是医疗就诊、药物和住院费用的总和。NIDD患者的医疗支出与普通人群大致相同（6462法郎）。对于IDD患者，主要差异在于药物支出。此外，1984年的家庭护理比1978年更多。最后，美国和法国在处方使用方面几乎没有差异。这些结果使我们能够讨论糖尿病患者所需护理的报销问题。