Ushakov Iu V, Kalugina L I, Mirzoian M G
Zh Nevropatol Psikhiatr Im S S Korsakova. 1991;91(7):112-7.
The paper is a fragment of the studies into estimation of expenditures in a representative group (386 patients) with schizophrenia. The authors describe the results of an analysis of "direct" and "indirect" expenditures incurred for the treatment of schizophrenic patients depending on the sex, age, disease pattern, prevailing positive syndrome, and the level of negative symptomatology. The values of these expenditures turned out fairly variable. It could be demonstrated that there are definite, significant correlations between the magnitude of these expenditures and ++clinico-psychopathological factors. The highest expenditures were recorded in patients fit for work, they are largely determined by expenditures for inpatient treatment and disability payments. It should be emphasized that in male patients, they appear much higher, particularly in the group of patients with simple schizophrenia. It means that using economic estimates indirectly reflecting the gravity and characteristic features of schizophrenia, one can assess different manifestations of the disease in terms of universal units of cost.
本文是对一组有代表性的386例精神分裂症患者治疗费用估算研究的一部分。作者描述了根据性别、年龄、疾病模式、主要阳性综合征以及阴性症状水平,对精神分裂症患者治疗所产生的“直接”和“间接”费用的分析结果。这些费用的值差异相当大。可以证明,这些费用的规模与临床 - 心理病理因素之间存在明确、显著的相关性。适合工作的患者费用最高,主要由住院治疗费用和残疾津贴决定。应该强调的是,男性患者的费用显得更高,尤其是单纯型精神分裂症患者组。这意味着通过间接反映精神分裂症严重程度和特征的经济估算,可以用通用的成本单位来评估该疾病不同的表现形式。