Burd Larry, Klug Marilyn G, Coumbe Matthew J, Kerbeshian Jacob
Department of Pediatrics, University of North Dakota School of Medicine, and the North Dakota Population Health Laboratory, Grand Forks, ND, USA.
J Child Neurol. 2003 Aug;18(8):555-61. doi: 10.1177/08830738030180080101.
The objective of this study was to use population-based data to estimate the prevalence and cost of treatment for attention-deficit hyperactivity disorder (ADHD). The North Dakota Department of Health Claims Database was used to estimate the administrative prevalence, annual cost of care per case, and total annual cost of care for subjects with ADHD compared with controls. The case population was 7745, and the mean prevalence rate was 3.9%, with a peak prevalence at 10 years of age. For children with ADHD, the annual cost of care was 649 dollars compared with that of controls at 495 dollars. Cost of care attributable to ADHD was 649 dollars - 495 dollars = 54 dollars (31%). Utilization by children with ADHD with publicly funded payers was increased 25 to 175% over that of children with privately funded coverage. In North Dakota, the annual cost of care for children with ADHD was 5.1 million dollars, 5.6% of all health care costs for children. The annual attributable cost of care was 1.79 million dollars. Thus, 1.9% of total health expenditures for children was attributable to ADHD. In the United States, the cost of care attributable to children with ADHD would be 2.15 billion dollars annually.
本研究的目的是利用基于人群的数据来估计注意力缺陷多动障碍（ADHD）的患病率及治疗费用。北达科他州卫生部索赔数据库被用于估计ADHD患者与对照组相比的行政患病率、每例病例的年度护理费用以及年度护理总费用。病例人群为7745人，平均患病率为3.9%，10岁时患病率达到峰值。对于ADHD儿童，年度护理费用为649美元，而对照组为495美元。ADHD导致的护理费用为649美元 - 495美元 = 54美元（31%）。由公共资助支付者支付费用的ADHD儿童的利用率比由私人资助保险覆盖儿童的利用率高出25%至175%。在北达科他州，ADHD儿童的年度护理费用为510万美元，占儿童所有医疗费用的5.6%。年度归因护理费用为179万美元。因此，儿童总医疗支出的1.9%可归因于ADHD。在美国，ADHD儿童每年导致的护理费用将达21.5亿美元。
