估算印度一特大城市两种主要精神障碍的每月花费。
An estimate of the monthly cost of two major mental disorders in an Indian metropolis.
机构信息
Clinical Psychologist, Department of Clinical Psychology, Institute of Human Behaviour and Allied Sciences, Dilshad Garden, Delhi 110095.
出版信息
Indian J Psychiatry. 2006 Jul;48(3):143-8. doi: 10.4103/0019-5545.31576.
BACKGROUND
THE COMPONENTS OF HIGH COST OF TREATING A CHRONIC PSYCHIATRIC ILLNESS ARE: long-term continuous treatment consisting of consultation and medication costs, traveling to the treatment centre and taking time off from work for both patient and caregiver. Apart from direct treatment costs, expenditure of time in care-giving results in indirect costs. All these costs are borne by families as the sufferer may be unable to work.
AIM
To estimate the cost of treatment of chronically ill patients at home, in terms of the above parameters.
METHODS
The sample consisted of 117 subjects of either sex in the age range of 18 to 60 years, ill for at least one year, diagnosed as schizophrenia (n=95) or bipolar disorder (n=22, a comparison group) who agreed to participate in the study along with at least one caregiver. The tools used were the Diagnostic Interview of Genetic Studies and Economic Burden Questionnaire administered to both the subject and the caregiver.
RESULTS AND CONCLUSIONS
The costs of treatment were found to be high but with wide variations in the range. Costs for bipolar disorder were somewhat higher than those for schizophrenia at least for the period of study. Demographic differences between subjects and caregivers were present.
背景
治疗慢性精神疾病的费用构成包括：长期持续的治疗，包括咨询和药物费用、前往治疗中心以及患者和护理人员请假的时间成本。除了直接治疗费用外，护理时间的花费还会产生间接成本。所有这些费用都由家庭承担，因为患者可能无法工作。
目的
根据上述参数，估算在家中治疗慢性疾病患者的治疗费用。
方法
该样本包括 117 名年龄在 18 至 60 岁之间的男女患者，患病至少一年，被诊断为精神分裂症（n=95）或双相情感障碍（n=22，为对照组），他们同意与至少一名护理人员一起参加研究。使用的工具是对患者和护理人员进行的遗传研究诊断访谈和经济负担问卷。
结果与结论
治疗费用被发现很高，但范围差异很大。双相情感障碍的治疗费用至少在研究期间比精神分裂症的治疗费用略高。患者和护理人员之间存在人口统计学差异。
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