荷兰双相情感障碍患者的社会成本及生活质量
The societal costs and quality of life of patients suffering from bipolar disorder in the Netherlands.
作者信息
Hakkaart-van Roijen L, Hoeijenbos M B, Regeer E J, ten Have M, Nolen W A, Veraart C P W M, Rutten F F H
机构信息
Institute for Medical Technology Assessment, Erasmus Medical Centre, Rotterdam, The Netherlands.
出版信息
Acta Psychiatr Scand. 2004 Nov;110(5):383-92. doi: 10.1111/j.1600-0447.2004.00403.x.
OBJECTIVE
To assess the societal costs and quality of life of patients suffering from bipolar disorder in the Netherlands.
METHOD
Forty persons with a lifetime diagnosis of bipolar disorder (SCID/DSM-IV) and representative for the Dutch general population were interviewed to collect data on direct (use of medical resources) and indirect (productivity losses because of absence from work and reduced efficiency at work) costs of illness. Respondents' quality of life was also assessed. Prevalence (5.2%) of bipolar disorder was used to estimate total costs.
RESULTS
Total costs of bipolar disorder were estimated at US 1.83 billion dollars (total direct costs = US 454 million dollars; total indirect costs = US 1.37 billion dollars). Participants' quality-of-life scores were lower than those of the general population.
CONCLUSION
The societal costs form patients suffering of bipolar disorder in the Netherlands were high, especially the indirect costs because of absence from work. The quality of life of bipolar patients was lower than the general population.
目的
评估荷兰双相情感障碍患者的社会成本和生活质量。
方法
对40名终生诊断为双相情感障碍（采用SCID/DSM-IV标准）且具有荷兰普通人群代表性的患者进行访谈，以收集疾病直接成本（医疗资源使用）和间接成本（因缺勤和工作效率降低导致的生产力损失）的数据。还评估了受访者的生活质量。采用双相情感障碍的患病率（5.2%）来估计总成本。
结果
双相情感障碍的总成本估计为18.3亿美元（直接成本总计4.54亿美元；间接成本总计13.7亿美元）。参与者的生活质量得分低于普通人群。
结论
荷兰双相情感障碍患者的社会成本很高，尤其是因缺勤导致的间接成本。双相情感障碍患者的生活质量低于普通人群。
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