Gannon Brenda, Finn David P, O'Gorman David, Ruane Nancy, McGuire Brian E
Academic Unit of Health Economics, University of Leeds, Leeds, UK.
Pain Med. 2013 Oct;14(10):1518-28. doi: 10.1111/pme.12202. Epub 2013 Aug 14.
The objective of the study was to collect data on the direct and indirect economic cost of chronic pain among patients attending a pain management clinic in Ireland.
A tertiary pain management clinic serving a mixed urban and rural area in the West of Ireland.
Data were collected from 100 patients using the Client Services Receipt Inventory and focused on direct and indirect costs of chronic pain.
Patients were questioned about health service utilization, payment methods, and relevant sociodemographics. Unit costs were multiplied by resource use data to obtain full costs. Cost drivers were then estimated.
Our study showed a cost per patient of US$24,043 over a 12-month period. Over half of this was attributable to wage replacement costs and lost productivity in those unable to work because of pain. Hospital stays and outpatient hospital services were the main drivers for health care utilization costs, together accounting for 63% of the direct medical costs per study participant attending the pain clinic.
The cost of chronic pain among intensive service users is significant, and when extrapolated to a population level, these costs represent a very substantial economic burden.
本研究的目的是收集爱尔兰一家疼痛管理诊所患者慢性疼痛的直接和间接经济成本数据。
一家为爱尔兰西部城乡混合地区服务的三级疼痛管理诊所。
使用客户服务收据清单从100名患者中收集数据，重点关注慢性疼痛的直接和间接成本。
询问患者有关医疗服务利用情况、支付方式和相关社会人口统计学信息。将单位成本乘以资源使用数据以获得总成本。然后估计成本驱动因素。
我们的研究显示，每位患者在12个月期间的成本为24,043美元。其中一半以上归因于因疼痛无法工作的人的工资替代成本和生产力损失。住院和门诊医院服务是医疗保健利用成本的主要驱动因素，占每个参加疼痛诊所研究参与者直接医疗成本的63%。
强化服务使用者中慢性疼痛的成本很高，若推算到整个人口水平，这些成本将构成非常巨大的经济负担。
