Portella E, Ridao M, Salvat M, Carrillo E
Departamento de Salud Pública y Legislación Sanitaria, Universidad de Barcelona.
Aten Primaria. 1998 Sep 30;22(5):279-84.
To evaluate the economic effect in terms of health costs of alcohol abuse in Spain.
The most up-to-date available, secondary sources of information were used. The period for the costs calculation was a natural year, with the prices adjusted to pesetas in 1996. The focus was based on the prevalence of cases per period. All the information referred to the whole of Spain.
Health costs were broken down into out-patient attendance, hospital emergencies, admissions, treatment at special centres and other health expenditure.
The total health cost attributable to alcoholism was 177,084 million pesetas, broken down as follows: a) cost of hospital admissions: 93,644 million pesetas (52.88%); b) cost of out-patient attendance: 34,600 million (19.53%); c) cost of treatment at special centres: 18,029 million (10.18%); d) cost of hospital emergencies: 10,481 million (5.91%); and e) other health expenditure: 20,330 million pesetas (11.48%).
The figures arrived at do not cover the total cost of alcohol abuse, since a conservative approach was adopted. They stand as a minimum of the expenditure in our country. Some are direct costs on health authorities, whereas others can be managed as a cost-opportunity problem.
评估西班牙酒精滥用在健康成本方面的经济影响。
使用了最新可得的二手信息来源。成本计算期为自然年，价格调整为1996年的比塞塔。重点基于各时期病例的患病率。所有信息均涉及西班牙全国。
健康成本细分为门诊就诊、医院急诊、住院、特殊中心治疗及其他健康支出。
酒精中毒导致的总健康成本为1770.84亿比塞塔，细分如下：a）住院成本：936.44亿比塞塔（52.88%）；b）门诊就诊成本：346.00亿比塞塔（19.53%）；c）特殊中心治疗成本：180.29亿比塞塔（10.18%）；d）医院急诊成本：104.81亿比塞塔（5.91%）；e）其他健康支出：203.30亿比塞塔（11.48%）。
由于采用了保守方法，得出的数字未涵盖酒精滥用的总成本。它们代表了我国支出的最低限度。一些是卫生当局的直接成本，而其他一些可作为成本机会问题来处理。
