Weiss K B, Sullivan S D
Department of Health Care Sciences, George Washington University Medical School, Washington, DC 20037, USA.
Pediatr Allergy Immunol. 1994;5(6 Suppl):7-12. doi: 10.1111/j.1399-3038.1994.tb00341.x.
Asthma and atopic illness account for a substantial burden of social morbidity. The purpose of this brief report will be to provide an overview of the different dimensions to the socio-economic burden of asthma and other atopic diseases and suggest areas where future research in this area may advance our understanding of the impact of various treatment strategies of these diseases. While there are occasional studies which describe the full dimensions of this social and economic burden, more studies are needed to complete our understanding of this burden especially studies that investigate the relative cost-effectiveness of medical and non-medical interventions. These studies will provide the infrastructure to rationally examine the optimal cost-effective strategies for these illnesses. In particular economic studies are needed to examine how best to balance resource expenditures for preventive versus pharmacologic control. Use of health economic methods will provide insights into the most efficient design and implementation of current disease control, with potentially concomitant reductions in costs and social burden for atopic illnesses, including asthma.
哮喘和特应性疾病构成了社会发病率的重大负担。本简要报告的目的是概述哮喘和其他特应性疾病社会经济负担的不同层面,并指出该领域未来研究可能增进我们对这些疾病各种治疗策略影响理解的领域。虽然偶尔有研究描述了这种社会和经济负担的全貌,但仍需要更多研究来完善我们对这种负担的理解,尤其是那些调查医疗和非医疗干预相对成本效益的研究。这些研究将为合理审视这些疾病的最佳成本效益策略提供基础架构。特别是需要进行经济学研究,以探讨如何最好地平衡预防与药物控制的资源支出。使用健康经济学方法将有助于深入了解当前疾病控制的最有效设计和实施方式,同时有可能降低包括哮喘在内的特应性疾病的成本和社会负担。