Cooper B S, Rice D P
Soc Secur Bull. 1976 Feb;39(2):21-36.
In and out of government, determining the cost of illness is a major concern. The allocation of health care resources and the evaluation of current research and program efforts depend in large measure on such information. This article updates the 1963 benchmark study of the cost of illness. For the 16 major diagnostic categories of illnesses, the cost is presented in terms of the direct costs for prevention,detection, and treatment; the morbidity losses due to disability; and the mortality losses resulting from premature death. The method of calculating the cost of any illness is described, and data necessary for the calculation are provided. In 1972, the estimated total cost of illness was $188 billion: $75 billion for direct costs, $42 billion for morbidity, and $71 billion for mortality. Diseases of the circulatory system were the most costly, representing about one-fifth of all costs of illness.
无论是在政府内部还是外部，确定疾病成本都是一个主要关注点。医疗保健资源的分配以及对当前研究和项目努力的评估在很大程度上取决于此类信息。本文更新了1963年关于疾病成本的基准研究。对于16种主要疾病诊断类别，成本按照预防、检测和治疗的直接成本、残疾导致的发病损失以及过早死亡导致的死亡损失来呈现。描述了计算任何疾病成本的方法，并提供了计算所需的数据。1972年，估计疾病总成本为1880亿美元：直接成本750亿美元，发病成本420亿美元，死亡成本710亿美元。循环系统疾病成本最高，约占所有疾病成本的五分之一。
