伊朗肝硬化的经济负担:一项疾病成本研究。
The Economic Burden of Liver Cirrhosis in Iran: a Cost of Illness Study.
作者信息
Akbari Sari Ali, Kazemi Karyani Ali, Alavian Seyed Moayed, Arab Mohamad, Rostami Gholmohamadi Fateme, Rezaei Satar
机构信息
Dept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Research Center for Gastroenterology and Liver Disease, Baqiyatallah University of Medical Sciences, Tehran, Iran.
出版信息
Iran J Public Health. 2015 Apr;44(4):512-21.
BACKGROUND
According to importance of cirrhosis of the liver and the lack of information about the economic burden of the disease, we performed this study to estimate the economic burden of liver Cirrhosis in Iran in 2011.
METHODS
The cost-of-illness method, based on the human capital theory, has been used. Both direct and indirect costs have been estimated using a prevalence approach and bottom-up method. The inpatient and outpatient records were investigated for obtaining the medical costs. Also, a questionnaire was used for collection the other data such as transportation costs, out of pocket payment and times of inpatients, etc. Costs consisted of expenditures which happened during March 2011 to February 2012 and the perspective of the study was Iranian society.
RESULTS
The total cost of the disease was 2014.5 billion Rials (USD164.32 million). Direct and indirect costs were 1384.16 and 630.4 billion Rials (86.7% and 11.3% of the total cost), respectively. Cost due to premature death was USD 38.66 million, included 23.52% of the total cost and 75% of indirect cost.
CONCLUSION
Liver Cirrhosis impose enormous economic burden on Iranian society. Policymakers should therefore take this into consideration and according to available health resources provide services and facilities for the prevention and treatment of the disease.
背景
鉴于肝硬化的重要性以及缺乏关于该疾病经济负担的信息,我们开展了本研究以估算2011年伊朗肝硬化的经济负担。
方法
采用了基于人力资本理论的疾病成本法。直接成本和间接成本均采用患病率法和自下而上法进行估算。通过调查住院和门诊记录来获取医疗成本。此外,还使用了一份问卷来收集其他数据,如交通成本、自付费用和住院次数等。成本包括2011年3月至2012年2月期间发生的支出,研究视角为伊朗社会。
结果
该疾病的总成本为20145亿里亚尔(1.6432亿美元)。直接成本和间接成本分别为13841.6亿里亚尔和6304亿里亚尔(分别占总成本的86.7%和11.3%)。过早死亡造成的成本为3866万美元,占总成本的23.52%,占间接成本的75%。
结论
肝硬化给伊朗社会带来了巨大的经济负担。因此,政策制定者应予以考虑,并根据现有的卫生资源提供预防和治疗该疾病的服务及设施。
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