Olesen Jes, Sobscki Patrick, Truelsen Thomas, Sestoft Dorthe, Jönsson Bengt
Department of Neurology, Glostrup Hospital, University of Copenhagen, Copenhagen, Glostrup, Denmark.
Nord J Psychiatry. 2008;62(2):114-20. doi: 10.1080/08039480801979792.
The cost of brain disorders in Denmark is unknown and such information is important to decision makers. The aims of the study were to estimate the total number of subjects with brain diseases, and the associated direct and indirect expenses in Denmark. This was part of a larger pan-European study commissioned by the European Brain Council, which is an international collaboration of organizations within psychiatry, neurology, neurosurgery, neuro-research and patient organizations. The project provided the best possible estimates of the expenses for brain diseases based on available international scientific literature. The present study presents results for Denmark. There were an estimated 1.4 million Danish citizens who in 2004 had one of the selected 12 brain diseases, equivalent to one quarter of the total population. Anxiety disorders and migraine were the two most frequent diseases with 500,000 and 340,000 patients, respectively. The total expenses for all selected brain diseases were 37.3 billion DKR. Affective disorders, dependency, dementia and stroke were the most costly diseases. An estimated 12% of all direct costs in the Danish health system were spent on brain diseases; 9% of the total drug consumption was used for treatment of brain diseases. Expenses to brain diseases constituted 3% of the gross domestic product. Brain disorders are very prevalent in Denmark and they cause high societal and personal cost.
丹麦脑部疾病的成本尚不清楚，而此类信息对决策者很重要。该研究的目的是估计丹麦脑部疾病患者的总数以及相关的直接和间接费用。这是欧洲脑理事会委托开展的一项规模更大的泛欧洲研究的一部分，欧洲脑理事会是精神病学、神经病学、神经外科、神经研究和患者组织等机构的国际合作组织。该项目根据现有的国际科学文献，尽可能准确地估计了脑部疾病的费用。本研究展示了丹麦的研究结果。据估计，2004年有140万丹麦公民患有选定的12种脑部疾病之一，相当于总人口的四分之一。焦虑症和偏头痛是最常见的两种疾病，患者分别为50万和34万。所有选定脑部疾病的总费用为373亿丹麦克朗。情感障碍、成瘾、痴呆和中风是费用最高的疾病。丹麦卫生系统中估计12%的直接成本用于脑部疾病；9%的药品总消费量用于治疗脑部疾病。脑部疾病的费用占国内生产总值的3%。脑部疾病在丹麦非常普遍，会造成高昂的社会和个人成本。
