Swingler R J, Davidson D L, Roberts R C, Moulding F
Department of Neurology, Dundee Royal Infirmary, UK.
Seizure. 1994 Jun;3(2):115-20. doi: 10.1016/s1059-1311(05)80201-8.
Epilepsy is a common disability, especially in young adults, and, as the costs to the community are likely to be high, estimates are required to plan health and community care. The neurological unit of Dundee Royal Infirmary provides an epilepsy clinic for the Tayside region (population 300,000) and in 1991 the records of over 303 patients were computerized using the Epicare system developed by Sanofi-Winthrop. It was calculated that the total state expenditure on care was 662,919 pounds (2188 pounds/head) in 1991. The direct health costs were obtained by reviewing database entries and medical records and were estimated to be 159,192 pounds (24%), including 77,171 pounds for drugs, 64,750 pounds for hospital care and 17,271 pounds for general practice consultations. The cost of welfare payments was 503,728 pounds/year (76%) (4419 pounds/recipient). The transfer payments to patients with epilepsy greatly exceed the costs of health care and any management strategy which improves the prospects for employment and independence of people with epilepsy is likely to produce significant fiscal benefits for both the individual and the state.
癫痫是一种常见的残疾，在年轻人中尤为常见，而且由于对社会造成的成本可能很高，因此需要进行估算以规划医疗和社区护理。邓迪皇家医院的神经科为泰赛德地区（人口30万）提供癫痫诊所服务，1991年，使用赛诺菲 - 温思罗普公司开发的Epicare系统，对303名以上患者的记录进行了计算机化处理。据计算，1991年国家在护理方面的总支出为662,919英镑（人均2188英镑）。通过审查数据库条目和病历获得直接医疗费用，估计为159,192英镑（24%），其中包括77,171英镑的药品费用、64,750英镑的住院护理费用和17,271英镑的全科诊疗费用。福利支付费用为每年503,728英镑（76%）（每位受助者4419英镑）。向癫痫患者的转移支付大大超过了医疗保健费用，任何能够改善癫痫患者就业前景和独立性的管理策略都可能为个人和国家带来显著的财政收益。
