Oliva Moreno J
Fundación Gaspar Casal, Madrid.
Med Clin (Barc). 2000;114 Suppl 3:15-21.
Whether the indirect costs caused by a specific disease should be included in economic analysis of health issues is a continuous matter of study which is far from solved. Throughout the course of this paper, we will try to point out the reasons of recommending their inclusion in economic health analysis and the main techniques for their calculation. Two practical examples about the economic impact caused in our society by some diseases will be analyzed. HIV/AIDS case has been chosen for its social relevance. Migraine was chosen for being a disease which in term of direct costs represents a small burden of illness for the health sector. But, if we have into account the indirect costs, the impact of the whole problems related to the migraine should be reconsidered.
由特定疾病引发的间接成本是否应纳入健康问题的经济分析，仍是一个尚待解决、不断研究的问题。在本文中，我们将试图指出建议将其纳入健康经济分析的原因以及主要的计算方法。将分析两个关于某些疾病对我们社会造成经济影响的实际例子。选择艾滋病病毒/艾滋病案例是因其具有社会相关性。选择偏头痛是因为就直接成本而言，它对卫生部门来说是一种疾病负担较小的疾病。但是，如果我们考虑间接成本，那么与偏头痛相关的整个问题的影响就应重新审视。
