酒精研究中的成本范围：疾病成本研究与经济评估不同。
The scope of costs in alcohol studies: Cost-of-illness studies differ from economic evaluations.
机构信息
National Institute for Public Health and the Environment, Centre for Prevention and Health Services Research, Bilthoven, The Netherlands.
National Institute for Public Health and the Environment, Centre for Public Health Forecasting, Bilthoven, The Netherlands.
出版信息
Cost Eff Resour Alloc. 2010 Jul 6;8:15. doi: 10.1186/1478-7547-8-15.
BACKGROUND
Alcohol abuse results in problems on various levels in society. In terms of health, alcohol abuse is not only an important risk factor for chronic disease, but it is also related to injuries. Social harms which can be related to drinking include interpersonal problems, work problems, violent and other crimes. The scope of societal costs related to alcohol abuse in principle should be the same for both economic evaluations and cost-of-illness studies. In general, economic evaluations report a small part of all societal costs. To determine the cost- effectiveness of an intervention it is necessary that all costs and benefits are included. The purpose of this study is to describe and quantify the difference in societal costs incorporated in economic evaluations and cost-of-illness studies on alcohol abuse.
METHOD
To investigate the economic costs attributable to alcohol in cost-of-illness studies we used the results of a recent systematic review (June 2009). We performed a PubMed search to identify economic evaluations on alcohol interventions. Only economic evaluations in which two or more interventions were compared from a societal perspective were included. The proportion of health care costs and the proportion of societal costs were estimated in both type of studies.
RESULTS
The proportion of healthcare costs in cost-of-illness studies was 17% and the proportion of societal costs 83%. In economic evaluations, the proportion of healthcare costs was 57%, and the proportion of societal costs was 43%.
CONCLUSIONS
The costs included in economic evaluations performed from a societal perspective do not correspond with those included in cost-of-illness studies. Economic evaluations on alcohol abuse underreport true societal cost of alcohol abuse. When considering implementation of alcohol abuse interventions, policy makers should take into account that economic evaluations from the societal perspective might underestimate the total effects and costs of interventions.
背景
酗酒会在社会的各个层面造成问题。从健康角度来看，酗酒不仅是慢性病的一个重要风险因素，还与伤害有关。与饮酒有关的社会危害包括人际关系问题、工作问题、暴力和其他犯罪。与酗酒相关的社会成本范围在经济评估和疾病成本研究中原则上应该是相同的。一般来说，经济评估只报告了所有社会成本的一小部分。要确定干预措施的成本效益，就必须包括所有的成本和效益。本研究的目的是描述和量化经济评估和疾病成本研究中纳入的酗酒社会成本之间的差异。
方法
为了调查疾病成本研究中归因于酒精的经济成本，我们使用了最近的一项系统评价（2009 年 6 月）的结果。我们在 PubMed 上进行了搜索，以确定关于酒精干预的经济评估。只包括从社会角度比较两种或两种以上干预措施的经济评估。在这两种类型的研究中，估计了医疗保健成本的比例和社会成本的比例。
结果
疾病成本研究中医疗保健成本的比例为 17%，社会成本的比例为 83%。在经济评估中，医疗保健成本的比例为 57%，社会成本的比例为 43%。
结论
从社会角度进行的经济评估中纳入的成本与疾病成本研究中纳入的成本不对应。关于酗酒的经济评估低估了酗酒的真实社会成本。当考虑实施酗酒干预措施时，政策制定者应该考虑到从社会角度进行的经济评估可能低估了干预措施的总效果和成本。
Zotero 插件