Direct economic impact of Parkinson's disease: A research survey in the United Kingdom
Identifieur interne : 004125 ( Main/Exploration ); précédent : 004124; suivant : 004126Direct economic impact of Parkinson's disease: A research survey in the United Kingdom
Auteurs : Leslie Findley [Royaume-Uni] ; Manjit Aujla [Royaume-Uni] ; Peter G. Bain [Royaume-Uni] ; Mary Baker [Royaume-Uni] ; Catherine Beech [Royaume-Uni] ; Clive Bowman [Royaume-Uni] ; Jeremy Holmes [Royaume-Uni] ; Wendy K. Kingdom [Royaume-Uni] ; Douglas G. Macmahon [Royaume-Uni] ; Viv Peto [Royaume-Uni] ; Jeremy R. Playfer [Royaume-Uni]Source :
- Movement Disorders [ 0885-3185 ] ; 2003-10.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Aging, Analysis of Variance, Cost analysis, Costs, Data Collection, Economic impact, Female, Great Britain (epidemiology), Health Care Costs, Health Surveys, Health economy, Hoehn and Yahr stage, Human, Humans, Male, Middle Aged, National Health Programs, Parkinson Disease (economics), Parkinson Disease (epidemiology), Parkinson disease, Parkinson's disease, Questionnaires, United Kingdom, health economics.
- MESH :
- geographic , epidemiology : Great Britain.
- economics : Parkinson Disease.
- epidemiology : Parkinson Disease.
- Aged, Aged, 80 and over, Aging, Analysis of Variance, Data Collection, Female, Health Care Costs, Health Surveys, Humans, Male, Middle Aged, National Health Programs, Questionnaires.
Abstract
The direct costs of care were evaluated prospectively in a sample of people with Parkinson's disease (PD) in the United Kingdom in 1998. The subjects were drawn from a random sample of general practitioner practices within a representative sample of 36 Regional Health Authorities and the equivalent. A total of 444 resource use questionnaires with usable data were returned (response rate, 59%). The total mean annual cost of care per patient for all patients by age was £5,993 (€9,554, n = 432). Hoehn and Yahr stage significantly (P < 0.001) influenced expenditure by stage as follows: 0 and I, £2,971 (€4,736, n = 110); II, £3,065 (€4,886, n = 89); III, £6,183 (€9,857, n = 120); IV, £10,134 (€16,155, n = 87); V, £18,358 (€29,265, n = 17). National Health Service costs accounted for approximately 38% and social services for 34% of the direct costs of care. Drug expenditure accounted for 24% of overall costs in the <65 years age group and 10% in patients aged >85 years. A move from home to residential care was associated with an approximately 500% cost increase. In conclusion, PD imposes significant direct costs on public services and on individuals. These costs should be taken into account when allocating public funds. © 2003 Movement Disorder Society
Url:
DOI: 10.1002/mds.10507
Affiliations:
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<term>Data Collection</term>
<term>Economic impact</term>
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<term>Great Britain (epidemiology)</term>
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<front><div type="abstract" xml:lang="en">The direct costs of care were evaluated prospectively in a sample of people with Parkinson's disease (PD) in the United Kingdom in 1998. The subjects were drawn from a random sample of general practitioner practices within a representative sample of 36 Regional Health Authorities and the equivalent. A total of 444 resource use questionnaires with usable data were returned (response rate, 59%). The total mean annual cost of care per patient for all patients by age was £5,993 (€9,554, n = 432). Hoehn and Yahr stage significantly (P < 0.001) influenced expenditure by stage as follows: 0 and I, £2,971 (€4,736, n = 110); II, £3,065 (€4,886, n = 89); III, £6,183 (€9,857, n = 120); IV, £10,134 (€16,155, n = 87); V, £18,358 (€29,265, n = 17). National Health Service costs accounted for approximately 38% and social services for 34% of the direct costs of care. Drug expenditure accounted for 24% of overall costs in the <65 years age group and 10% in patients aged >85 years. A move from home to residential care was associated with an approximately 500% cost increase. In conclusion, PD imposes significant direct costs on public services and on individuals. These costs should be taken into account when allocating public funds. © 2003 Movement Disorder Society</div>
</front>
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