Morgan Christopher Ll, Kerr Michael P
Welsh Centre for Learning Disabilities (Clinical Studies), Department of Psychological Medicine, University of Wales College of Medicine, Heath Park, Cardiff, Wales.
Epilepsia. 2004 Jul;45(7):849-54. doi: 10.1111/j.0013-9580.2004.50103.x.
This study describes the hospital costs for a population with epilepsy in 1 year (1999). The study was conducted in a defined geographic United Kingdom population of 424,000.
A register of patients with epilepsy was constructed by using a variety of data sources that had undergone a process of record linkage. Hospital admissions were coded by using Healthcare Resource Group (HRG) and costed by using published National Health Service reference costs. A population of 3,892 people with epilepsy was recorded.
The cost of inpatient care for these patients with epilepsy was pound 2,537,386 ($4,135,939), an excess of pound 1,598,909 ($2,606,222) compared with the population as a whole. Of this, pound 320,182 ($521,897) was associated with a primary diagnosis of epilepsy, and pound 679,757 ($1,108,004) was associated with secondary diagnoses. Outpatient expenditure was pound 732,823 ($1,194,501).
This study demonstrates that people with epilepsy use excess resources and that this is not explained solely by either the direct or indirect effects of their epilepsy. These data may help in understanding of the complex issues surrounding the health economics of epilepsy.
本研究描述了1999年癫痫患者群体的医院费用情况。该研究在英国一个特定地理区域、人口为424,000的人群中开展。
通过使用经过记录链接过程的多种数据源构建癫痫患者登记册。医院入院情况采用医疗保健资源组（HRG）进行编码，并使用已公布的国民保健服务参考成本进行成本核算。记录了3892名癫痫患者。
这些癫痫患者的住院护理费用为2,537,386英镑（4,135,939美元），与整个人口相比多出1,598,909英镑（2,606,222美元）。其中，320,182英镑（521,897美元）与癫痫的主要诊断相关，679,757英镑（1,108,004美元）与次要诊断相关。门诊支出为732,823英镑（1,194,501美元）。
本研究表明癫痫患者使用了过多资源，且这不能仅由其癫痫的直接或间接影响来解释。这些数据可能有助于理解围绕癫痫健康经济学的复杂问题。
