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儿童哮喘给澳大利亚家庭带来的成本。

The cost of childhood asthma to Australian families.

作者信息

Toelle B G, Peat J K, Mellis C M, Woolcock A J

机构信息

Department of Medicine, University of Sydney, Australia.

出版信息

Pediatr Pulmonol. 1995 Jun;19(6):330-5. doi: 10.1002/ppul.1950190604.

Abstract

There have been no estimates of the actual cost of asthma care to Australian families. Previous estimates have been of the total cost to the community and have relied upon data collected by government departments and agencies. It was the aim of this investigation to estimate the cost of childhood asthma from the parents perspective in Australian families. A total of 238 asthmatic children aged 8-12 years were identified through prevalence studies of asthma in Sydney and Belmont, N.S.W. Children were selected if they had wheezed in the previous 12 months, had used asthma medicines or had airway hyperresponsiveness when tested. The study sample had a wide range of asthma severity. Data were collected retrospectively and prospectively. Parents completed a questionnaire which asked about health insurance and special asthma equipment costs in the previous 12 months. Every 2 weeks for a total of 3 months between February and June parents completed further questionnaires which assessed costs incurred because of their child's asthma, together with time spent obtaining treatment. Items included doctor consultations and tests, alternative practitioner consultations and tests, medications and alternative therapies purchased, hospital and ambulance use, and the cost of childcare as a consequence of asthma. We collected two or more months of prospective data from a total of 193 children. The mean annual cost of asthma to the family was A$212.48 per asthmatic child and 13.4 hr were spent obtaining treatment. For the group of children who had not visited a doctor in the previous year, the mean annual cost was A$85.60 and 13.1 hr were spent obtaining treatment.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

目前尚无针对澳大利亚家庭哮喘护理实际成本的估算。此前的估算都是关于社区的总成本,且依赖于政府部门和机构收集的数据。本调查的目的是从澳大利亚家庭中父母的角度估算儿童哮喘的成本。通过新南威尔士州悉尼和贝尔蒙特的哮喘患病率研究,共确定了238名8至12岁的哮喘儿童。如果儿童在过去12个月内有喘息症状、使用过哮喘药物或测试时存在气道高反应性,则被纳入研究。研究样本的哮喘严重程度范围广泛。数据通过回顾性和前瞻性方式收集。父母填写了一份问卷,询问了过去12个月内的健康保险和特殊哮喘设备成本。在2月至6月期间,父母每2周填写一次问卷,共持续3个月,问卷评估了因孩子哮喘产生的成本以及获得治疗所花费的时间。项目包括医生诊疗和检查、替代疗法从业者的诊疗和检查、购买的药物和替代疗法、住院和救护车使用以及因哮喘导致的育儿成本。我们从193名儿童中收集了两个月或更长时间的前瞻性数据。每个哮喘儿童家庭每年的哮喘平均成本为212.48澳元,获得治疗花费的时间为13.4小时。对于上一年未看过医生的儿童组,每年的平均成本为85.60澳元,获得治疗花费的时间为13.1小时。(摘要截选至250字)

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