Hasoumi Mojtaba, Nasehi Mahshid, Khakian Mehdi, Mohseni Mohammad, Ziaiifar Hajarbibi, Keykale Meysam Safi
Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.
Departments of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Mater Sociomed. 2014 Oct;26(5):339-42. doi: 10.5455/msm.2014.26.339-342. Epub 2014 Oct 29.
Present study calculates and analyzes Cost of illness of tuberculosis in Tehran.
This study was a descriptive analytical study conducted among 121 patients in two stages in 2011. In the first stage, questionnaires were collected by reviewing patient records and phone interviews with patients. The second stage deals with the calculation of costs. For cost calculation, we used incidence based and bottom-up approach, and for calculating indirect costs, human capital approach was used. The vision used for this study was community-based in which all costs are included.
The average costs per patient were calculated to be as follows: 28,467,737 Rials(2588 dollars) for direct medical costs, 1,011,360 Rials (92 dollars) for indirect medical costs and 5,533,020 (503 dollars) Rials for indirect costs. On the whole, average costs per patient was 35,056,170 Rials most of which were related to hospital costs (62/11%). Also, the average time away from work was 47 days. Cost calculated for all patients with tuberculosis in Tehran in 1390, including indirect costs caused by premature deaths of patients, was 101,900,501,328 Rials (9,263,681 U.S.$).
To sum up, in Tehran in 2011 on average every day about 279,179,456 Rials (25,380 dollars) was spent on TB patients. Moreover, heavy costs caused by TB, which are usually imposed to the households in two or three months, have significant effect of decreasing households' quality of life which calls health policy makers' attention.
本研究计算并分析德黑兰结核病的疾病成本。
本研究是一项描述性分析研究，于2011年分两个阶段对121名患者进行。第一阶段，通过查阅患者记录和电话访谈患者来收集问卷。第二阶段涉及成本计算。对于成本计算，我们采用基于发病率和自下而上的方法，对于间接成本的计算，采用人力资本法。本研究采用的视角是以社区为基础的，其中包括所有成本。
每位患者的平均成本计算如下：直接医疗成本为28467737里亚尔（2588美元），间接医疗成本为1011360里亚尔（92美元），间接成本为5533020里亚尔（503美元）。总体而言，每位患者的平均成本为35056170里亚尔，其中大部分与医院成本相关（62.11%）。此外，平均误工时间为47天。2011年德黑兰所有结核病患者的成本计算，包括患者过早死亡导致的间接成本，为101900501328里亚尔（9263681美元）。
总之，2011年在德黑兰，平均每天约有279179456里亚尔（25380美元）用于结核病患者。此外，结核病造成的沉重成本通常在两三个月内由家庭承担，对家庭生活质量有显著影响，这引起了卫生政策制定者的关注。
