Afkar Abolhasan, Jalilian Habib, Pourreza Abolghasem, Mir Habibeh, Sigaroudi Abdolhosein Emami, Heydari Somayeh
Social Determinants of Health Research Center, School of Health, Guilan University of Medical Sciences, Rasht, Iran.
Assistant Professor, Department of Health Services Management, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
BMC Health Serv Res. 2021 Mar 11;21(1):219. doi: 10.1186/s12913-021-06136-6.
Breast cancer is the most prevalent cancer among women. Breast cancer imposes a considerable economic burden on the health system. This study aimed to compare the cost of breast cancer among patients who referred to private and public hospitals in Iran (2017).
This was a prevalence-based cost of illness study. A total of 179 patients were selected from private and public hospitals using the census method. The researcher-constructed checklist was used for data collection. Data were analyzed using SPSS software version 22.
The estimated total mean (SD) direct cost of patients who referred to the private hospital and the public hospital was $10,050 (19,480) and $3960 (6780), respectively. Further, the total mean indirect cost of patients who referred to the private hospital was lower than those referring to the public hospital at $1870 (15 % of total costs) and $22,350 (85 % of total costs), respectively. These differences were statistically significant (P < 0.05).
Breast cancer imposes a substantial cost on patients, health insurance organizations and the whole society in Iran. Therefore, the adoption of effective measures for the prevention and early diagnosis of breast cancer is urgently needed.
乳腺癌是女性中最常见的癌症。乳腺癌给卫生系统带来了相当大的经济负担。本研究旨在比较2017年伊朗转诊至私立和公立医院的乳腺癌患者的费用。
这是一项基于患病率的疾病成本研究。采用普查方法从私立和公立医院共选取了179名患者。使用研究者编制的检查表进行数据收集。数据采用SPSS 22软件进行分析。
转诊至私立医院和公立医院的患者估计总平均（标准差）直接成本分别为10,050美元（19,480美元）和3960美元（6780美元）。此外，转诊至私立医院的患者总平均间接成本低于转诊至公立医院的患者，分别为1870美元（占总成本的15%）和22,350美元（占总成本的85%）。这些差异具有统计学意义（P < 0.05）。
乳腺癌给伊朗的患者、健康保险组织和整个社会带来了巨大成本。因此，迫切需要采取有效措施预防和早期诊断乳腺癌。
