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[抑郁症治疗的成本分析。三环类抗抑郁药与选择性5-羟色胺再摄取抑制剂的比较]

[Cost analysis of treating depression. Comparison of tricyclic antidepressants and selective serotonine re-uptake inhibitors].

作者信息

Mazurek J, Kiejna A

机构信息

Z Katedry i Kliniki Psychiatrii AM we Wrocławiu.

出版信息

Psychiatr Pol. 1996 Jan-Feb;30(1):87-98.

PMID:8722242
Abstract

The question of costs in treating the most widely spread diseases has appeared in medical literature for several years. A task of modern health economics is to estimate and, if possible, to reduce direct and indirect costs of illnesses having social dimension. Since depression takes important place among them, it also stays in a circle of economists' interests. Latest changes in pharmacotherapy of depression, connected with appearence, by tricyclics, selective serotonine reuptake inhibitors, seem to be very promising: they have similar antidepressive effectiveness, but differ in toxicity after overdose, quantity and quality of side-effects, treatment dropout. However the organisation of Polish health service still passes over this economic aspect, it is probable that this situation will change in the nearest future, so it can be interesting to approach the methods of economic thinking in western psychiatric services.

摘要

治疗最广泛传播疾病的成本问题已在医学文献中出现数年。现代卫生经济学的一项任务是估计并尽可能降低具有社会层面的疾病的直接和间接成本。由于抑郁症在其中占据重要地位,它也一直处于经济学家的关注范围内。抑郁症药物治疗的最新变化,与三环类药物、选择性5-羟色胺再摄取抑制剂的出现相关,似乎很有前景:它们具有相似的抗抑郁效果,但在过量用药后的毒性、副作用的数量和质量、治疗中断方面存在差异。然而,波兰医疗服务的组织仍未考虑到这一经济方面,很可能这种情况在不久的将来会改变,因此了解西方精神科服务中的经济思维方法可能会很有意思。

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