Coyte P C, Asche C V, Elden L M
Department of Health Administration, Faculty of Medicine, University of Toronto, Ontario, Canada.
Int J Pediatr Otorhinolaryngol. 1999 Jun 15;49(1):27-36. doi: 10.1016/s0165-5876(99)00041-5.
The purpose of this study was to estimate the total costs of otitis media (OM) from a societal perspective using a prevalence-based approach to estimate disease related costs for Canadians with OM in 1994. Direct expenditures attributable to OM associated with hospitals, other institutions, physicians, other health professionals, drugs, research and other components of care were assessed, along with estimates of lost productivity due to illness and the workloss of caregivers. The total costs of OM for Canadians were $611.0 million in 1994, with direct and indirect cost components at $470.7 million and $140.3 million, respectively. Over 70% of total OM costs were attributed to children aged 14 years and under ($428.4 million), with direct and indirect costs being $334.1 million and $94.3 million, respectively. This study highlights the scope and magnitude of the economic consequences of OM. The costs calculated may be used to provide guidance in the setting of priorities for research and prevention activities.
本研究的目的是从社会角度，采用基于患病率的方法，估算1994年加拿大中耳炎（OM）患者与疾病相关的费用，从而得出中耳炎的总成本。评估了与中耳炎相关的医院、其他机构、医生、其他卫生专业人员、药物、研究及其他护理组成部分的直接支出，以及因病导致的生产力损失和护理人员的误工损失估算。1994年加拿大中耳炎的总成本为6.11亿加元，其中直接成本和间接成本分别为4.707亿加元和1.403亿加元。超过70%的中耳炎总成本归因于14岁及以下儿童（4.284亿加元），其直接成本和间接成本分别为3.341亿加元和9430万加元。本研究凸显了中耳炎经济后果的范围和规模。计算出的成本可用于为研究和预防活动的优先事项设定提供指导。
