Hurley S F, Bond L M, Carlin J B, Evans D B, Kaldor J M
Department of Public Health and Community Medicine, University of Melbourne, Carlton, Victoria, Australia.
J Epidemiol Community Health. 1995 Oct;49(5):525-31. doi: 10.1136/jech.49.5.525.
Studies estimating the cost of specific illnesses do not generally take into account the fact that health care costs would have been incurred in the absence of the disease of interest. The goal of this study was to develop a method of estimating age specific baseline health care costs. These costs were calculated for Australian men, and their magnitude was compared with the costs of caring for men with HIV infection.
Information about health service usage was obtained from the 1989-90 national health survey and linked with data on the costs of services to obtain average monthly costs for individual and total health services.
The Australian community.
Average total health service costs per man per month were $103 (Australian). Hospital admissions comprised approximately 40% of these costs and casualty/outpatient visits, consultations with a doctor, and prescribed medication comprised 10%, 13%, and 12%, respectively. Costs increased with age, from around $60 per month for men aged 20-39 years to $213 per month for men aged 60 and over.
Baseline costs comprised around 18% of health care costs for men with asymptomatic HIV infection, but less than 1% of costs for men with AIDS. These estimates provide an essential baseline for determining the costs attributable to specific diseases.
估算特定疾病成本的研究通常未考虑到这样一个事实，即即便没有所关注的疾病，医疗保健成本也依然会产生。本研究的目的是开发一种估算特定年龄基线医疗保健成本的方法。计算了澳大利亚男性的这些成本，并将其规模与护理感染艾滋病毒男性的成本进行了比较。
从1989 - 1990年全国健康调查中获取有关医疗服务使用情况的信息，并将其与服务成本数据相联系，以得出个人和总医疗服务的平均每月成本。
澳大利亚社区。
每名男性每月的医疗服务总成本平均为103澳元。住院费用约占这些成本的40%，急诊/门诊就诊、看医生和处方药费用分别占10%、13%和12%。成本随年龄增长而增加，20 - 39岁男性每月约60澳元，60岁及以上男性每月213澳元。
基线成本约占无症状艾滋病毒感染男性医疗保健成本的18%，但占艾滋病男性成本的比例不到1%。这些估算为确定特定疾病的成本提供了重要的基线。
