Department of Public Health, Henri Mondor-Albert Chenevier Hospitals (AP-HP), Creteil, France.
Eur J Neurol. 2013 Jul;20(7):1094-100. doi: 10.1111/ene.12143. Epub 2013 Apr 8.
A cost of illness study was undertaken on behalf of the French Ministry of Health to estimate the annual cost of stroke in France with the goal of better understanding the current economic burden so that improved strategies for care may be developed.
Using primary data from exhaustive national databases and both top-down and bottom-up approaches, the stroke-related costs for healthcare, nursing care and lost productivity were estimated.
The total healthcare cost of stroke patients in France in 2007 was €5.3 billion, 92% of which was borne by statutory health insurance. The average cost of incident cases was €16 686 per patient in the first year, while the annual cost of prevalent cases was a little less than half that amount (€8099). Nursing care costs were estimated at €2.4 billion. Lost productivity reached €255.9 million and that income loss for stroke patients was partially compensated by €63.3 million in social benefit payments.
With healthcare costs representing 3% of total health expenditure in France, stroke constitutes an ongoing burden for the health system and overall economy. Nursing care added nearly half again the amount spent on healthcare, while productivity losses were more limited because nearly 80% of acute incident strokes were in patients over age 65. The high cost of illness underscores the need for improved prevention and interventions to limit the disabling effects of stroke.
法国卫生部委托进行了一项疾病经济负担研究，旨在评估法国每年因卒中而产生的费用，目的是更好地了解当前的经济负担，以便制定更好的治疗策略。
利用来自详尽的国家数据库以及自上而下和自下而上的方法，对与医疗保健、护理和生产力损失相关的卒中成本进行了估计。
2007 年，法国卒中患者的总医疗保健费用为 53 亿欧元，其中 92%由法定健康保险承担。第一年新发病例的平均成本为每位患者 16686 欧元，而现患病例的年成本略低于该金额的一半（8099 欧元）。护理费用估计为 24 亿欧元。生产力损失达到 2.559 亿欧元，而卒中患者的收入损失通过 6330 万欧元的社会福利金得到部分补偿。
鉴于医疗保健费用占法国总卫生支出的 3%，卒中对卫生系统和整体经济构成了持续的负担。护理费用几乎增加了医疗保健费用的一半，而生产力损失则较为有限，因为近 80%的急性卒中事件发生在 65 岁以上的患者中。高昂的疾病负担突显了需要改善预防和干预措施，以限制卒中的致残影响。
