Health Services, Statistics and Economics Unit, Swiss Paraplegic Research, Nottwil, Switzerland.
Appl Health Econ Health Policy. 2018 Jun;16(3):347-355. doi: 10.1007/s40258-018-0391-9.
Care and support of people dealing with long-term disabilities involves the entire family.
This paper evaluates the effect of living with a relative dealing with a long-term disability on the health status of all family members in the household.
Using information from the Swiss household panel from the year 1999 to 2003 (n = 18,030), a linear regression is implemented to compare the health status of family members cohabiting with individuals dealing with a long-term disability with the health status of individuals of similar characteristics in the general population. Additionally, a non-parametric graphical analysis estimates the smooth patterns of the results over time.
Family members who cohabit with a person dealing with a long-term disability have a consistently reduced health status. The size of the impact depends on the sex and the role in the family. In general, women show the most negative effects. For children, the impact depends on the relationship with the disabled person.
Recognizing the presence of health spillovers can help to design policies to better support families. Being the perceived health status a good indicator of the use of health services and mortality, the health system should focus on the entire family, and not only on the patient or the main caregiver.
照顾和支持长期残疾的人需要整个家庭的参与。
本文评估了与长期残疾的亲属共同生活对家庭中所有成员健康状况的影响。
利用瑞士家庭面板 1999 年至 2003 年的数据（n=18030），采用线性回归比较了与长期残疾者共同生活的家庭成员的健康状况与一般人群中具有相似特征的个体的健康状况。此外，非参数图形分析估计了结果随时间的平滑模式。
与长期残疾者共同生活的家庭成员的健康状况持续下降。影响的大小取决于性别和家庭角色。一般来说，女性受到的负面影响最大。对于儿童，影响取决于与残疾人的关系。
认识到健康溢出的存在可以帮助制定更好地支持家庭的政策。由于感知健康状况是使用卫生服务和死亡率的良好指标，卫生系统应关注整个家庭，而不仅仅是患者或主要照顾者。
