Jahnz-Różyk Karina, Kucharczyk Aleksandra, Warchoł Marta, Radziwilska-Muc Anna, Władysiuk Magdalena, Plisko Robert
Department of Immunology and Clinical Alergology, Central Clinical Hospital of the Ministry of National Defense, Military Institute of Medicine in Warsaw, Poland.
HTA Consulting sp. z o.o. sp. k., Kraków, Poland.
Pol Merkur Lekarski. 2015 Aug;39(230):91-5.
The costs incurred for treatment of patients with asthma are an important part of health care in the budget of each country. The aim of the study was to evaluate the direct and indirect costs of asthma in Poland. The study was based on questionnaires completed by professionals--allergists and pneumonologists of 13 centers in which is conducted the diagnosis and treatment of asthma.
The costs of asthma were determined from the payer perspective (NHF) and from the perspective of social security (ZUS). The study evaluated the direct costs of one patient with asthma in 2012, and indirect costs, as measured by human capital or friction costs. The study involved 128 people, including 84 women and 44 men, mean age 51.04+/11.41 years.
Among the most frequent concomitant diseases: allergic rhinitis (93.75%), gastro-oesophageal reflux (38.54%), urticaria (16.67%), atopic dermatitis (21.88%) were present. The average monthly cost of drugs in 2012 amounted to PLN 251.32 (61.29 EURO, 2012 EURO 1 year=4.1 PLN), including patient,s copayment amounted to PLN 65.48 (EUR 15.97). The study showed that the direct cost per patient was 3240,88 PLN (790,46 EURO,). The Indirect cost, calculated using the human capital was for an average PLN 17,579.18 (4287.6 EURO) per patient, and using the method of friction costs was PLN 5974.06 (EUR 1,457.2).
Estimating the cost of the disease often depends on the adopted method of analysis, but in the study group, a significant advantage of the indirect costs of the disease was observed. The effectiveness of the treatment of asthma in Poland should also be aimed at reducing the indirect costs of illness.
哮喘患者的治疗费用是每个国家医疗保健预算的重要组成部分。本研究的目的是评估波兰哮喘的直接和间接成本。该研究基于专业人员(13个进行哮喘诊断和治疗中心的过敏症专科医生和肺病专家)填写的问卷。
从支付方(国家健康基金)和社会保障(社会保险机构)的角度确定哮喘成本。该研究评估了2012年一名哮喘患者的直接成本以及以人力资本或摩擦成本衡量的间接成本。该研究涉及128人,包括84名女性和44名男性,平均年龄51.04±11.41岁。
在最常见的伴随疾病中,存在过敏性鼻炎(93.75%)、胃食管反流(38.54%)、荨麻疹(16.67%)、特应性皮炎(21.88%)。2012年药物的平均每月成本为波兰兹罗提251.32(61.29欧元,2012年1欧元 = 4.兹罗提),其中患者自付费用为波兰兹罗提65.48(15.97欧元)。研究表明,每名患者的直接成本为3240.88波兰兹罗提(790.46欧元)。使用人力资本计算的间接成本平均每名患者为波兰兹罗提17579.18(4287.6欧元),使用摩擦成本方法计算为波兰兹罗提5974.06(1457.2欧元)。
疾病成本的估算通常取决于所采用的分析方法,但在研究组中,观察到该疾病间接成本具有显著优势。波兰哮喘治疗的有效性还应旨在降低疾病的间接成本。