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The Financial Burden of Rotavirus Disease in Four Countries of the European Union

Identifieur interne : 000085 ( PascalFrancis/Corpus ); précédent : 000084; suivant : 000086

The Financial Burden of Rotavirus Disease in Four Countries of the European Union

Auteurs : Baudouin Standaert ; Olof Harlin ; Ulrich Desselberger

Source :

RBID : Pascal:08-0129053

Descripteurs français

English descriptors

Abstract

Background: Rotavirus disease is associated with a substantial financial burden. Rotavirus gastroenteritis in children under 5 results in considerable medical resource utilization and burden for parents and society. Methods: For this study a modeling approach was employed to assess the financial burden ofrotavirus disease in 4 European Union countries (Belgium, France, the Netherlands, and the United Kingdom). Both direct medical costs to health authorities and indirect costs borne by society, parents, and employers were calculated. Results: The Purchasing-Power-Parity-adjusted direct cost expressed as a cost per exposure year, per child under 5, was highest in France (∈12.26) and Belgium (∈11.80) compared with the Netherlands (∈8.13) and the United Kingdom (∈7.67). The Purchasing-Power-Parity-adjusted indirect cost was estimated to be highest in the United Kingdom (∈15.47) and the Netherlands (∈15.33) compared with France (∈11.31) and Belgium (∈10.24). The sum of the direct medical and indirect costs of rotavirus disease management was estimated to be ∈23.11 ± ∈0.70/yr per child under 5 years for all 4 countries. Conclusions: In countries where more emphasis was placed on first-line intervention (United Kingdom, the Netherlands), direct costs were lower than in countries where access to second-line healthcare support was more open (Belgium, France). The data suggest that the greater burden of financial responsibility of managing rotavirus disease in children was borne by society (higher in the United Kingdom and the Netherlands than in France and Belgium). In Europe investment in rotavirus disease management is substantial, therefore the medical and economic benefits of a vaccination strategy should be considered to reduce the medical and financial burden associated with acute rotavirus gastroenteritis.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A05       @2 27
A06       @2 1 @3 SUP
A08 01  1  ENG  @1 The Financial Burden of Rotavirus Disease in Four Countries of the European Union
A09 01  1  ENG  @1 Rotavirus: Evidence for vaccination
A11 01  1    @1 STANDAERT (Baudouin)
A11 02  1    @1 HARLIN (Olof)
A11 03  1    @1 DESSELBERGER (Ulrich)
A12 01  1    @1 LEPAGE (Philippe) @9 ed.
A14 01      @1 GlaxoSmithKline Biologicals @2 Wavre @3 BEL @Z 1 aut.
A14 02      @1 archimed medical communication AG @2 Zofingen @3 CHE @Z 2 aut.
A14 03      @1 Department of Medicine, University of Cambridge @2 Cambridge @3 GBR @Z 3 aut.
A15 01      @1 Université libre de Bruxelles @2 Brussels @3 BEL @Z 1 aut.
A20       @2 S20-S27
A21       @1 2008
A23 01      @0 ENG
A43 01      @1 INIST @2 20356 @5 354000162722140030
A44       @0 0000 @1 © 2008 INIST-CNRS. All rights reserved.
A45       @0 46 ref.
A47 01  1    @0 08-0129053
A60       @1 P
A61       @0 A
A64 01  1    @0 The Pediatric infectious disease journal
A66 01      @0 USA
C01 01    ENG  @0 Background: Rotavirus disease is associated with a substantial financial burden. Rotavirus gastroenteritis in children under 5 results in considerable medical resource utilization and burden for parents and society. Methods: For this study a modeling approach was employed to assess the financial burden ofrotavirus disease in 4 European Union countries (Belgium, France, the Netherlands, and the United Kingdom). Both direct medical costs to health authorities and indirect costs borne by society, parents, and employers were calculated. Results: The Purchasing-Power-Parity-adjusted direct cost expressed as a cost per exposure year, per child under 5, was highest in France (∈12.26) and Belgium (∈11.80) compared with the Netherlands (∈8.13) and the United Kingdom (∈7.67). The Purchasing-Power-Parity-adjusted indirect cost was estimated to be highest in the United Kingdom (∈15.47) and the Netherlands (∈15.33) compared with France (∈11.31) and Belgium (∈10.24). The sum of the direct medical and indirect costs of rotavirus disease management was estimated to be ∈23.11 ± ∈0.70/yr per child under 5 years for all 4 countries. Conclusions: In countries where more emphasis was placed on first-line intervention (United Kingdom, the Netherlands), direct costs were lower than in countries where access to second-line healthcare support was more open (Belgium, France). The data suggest that the greater burden of financial responsibility of managing rotavirus disease in children was borne by society (higher in the United Kingdom and the Netherlands than in France and Belgium). In Europe investment in rotavirus disease management is substantial, therefore the medical and economic benefits of a vaccination strategy should be considered to reduce the medical and financial burden associated with acute rotavirus gastroenteritis.
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C03 06  X  ENG  @0 Viral gastroenteritis @4 CD @5 96
C07 01  X  FRE  @0 Reoviridae @2 NW
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C07 04  X  SPA  @0 Economía salud @5 38
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C07 05  X  ENG  @0 Digestive diseases @5 39
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C07 06  X  FRE  @0 Santé publique @5 40
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Format Inist (serveur)

NO : PASCAL 08-0129053 INIST
ET : The Financial Burden of Rotavirus Disease in Four Countries of the European Union
AU : STANDAERT (Baudouin); HARLIN (Olof); DESSELBERGER (Ulrich); LEPAGE (Philippe)
AF : GlaxoSmithKline Biologicals/Wavre/Belgique (1 aut.); archimed medical communication AG/Zofingen/Suisse (2 aut.); Department of Medicine, University of Cambridge/Cambridge/Royaume-Uni (3 aut.); Université libre de Bruxelles/Brussels/Belgique (1 aut.)
DT : Publication en série; Niveau analytique
SO : The Pediatric infectious disease journal; ISSN 0891-3668; Coden PIDJEV; Etats-Unis; Da. 2008; Vol. 27; No. 1 SUP; S20-S27; Bibl. 46 ref.
LA : Anglais
EA : Background: Rotavirus disease is associated with a substantial financial burden. Rotavirus gastroenteritis in children under 5 results in considerable medical resource utilization and burden for parents and society. Methods: For this study a modeling approach was employed to assess the financial burden ofrotavirus disease in 4 European Union countries (Belgium, France, the Netherlands, and the United Kingdom). Both direct medical costs to health authorities and indirect costs borne by society, parents, and employers were calculated. Results: The Purchasing-Power-Parity-adjusted direct cost expressed as a cost per exposure year, per child under 5, was highest in France (∈12.26) and Belgium (∈11.80) compared with the Netherlands (∈8.13) and the United Kingdom (∈7.67). The Purchasing-Power-Parity-adjusted indirect cost was estimated to be highest in the United Kingdom (∈15.47) and the Netherlands (∈15.33) compared with France (∈11.31) and Belgium (∈10.24). The sum of the direct medical and indirect costs of rotavirus disease management was estimated to be ∈23.11 ± ∈0.70/yr per child under 5 years for all 4 countries. Conclusions: In countries where more emphasis was placed on first-line intervention (United Kingdom, the Netherlands), direct costs were lower than in countries where access to second-line healthcare support was more open (Belgium, France). The data suggest that the greater burden of financial responsibility of managing rotavirus disease in children was borne by society (higher in the United Kingdom and the Netherlands than in France and Belgium). In Europe investment in rotavirus disease management is substantial, therefore the medical and economic benefits of a vaccination strategy should be considered to reduce the medical and financial burden associated with acute rotavirus gastroenteritis.
CC : 002B05C02F
FD : Infection; Europe; Coût; Pédiatrie; Rotavirus; Gastroentérite virale
FG : Reoviridae; Virus; Pathologie de l'intestin; Economie santé; Pathologie de l'appareil digestif; Santé publique
ED : Infection; Europe; Costs; Pediatrics; Rotavirus; Viral gastroenteritis
EG : Reoviridae; Virus; Intestinal disease; Health economy; Digestive diseases; Public health
SD : Infección; Europa; Coste; Pediatría; Rotavirus
LO : INIST-20356.354000162722140030
ID : 08-0129053

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Pascal:08-0129053

Le document en format XML

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<NO>PASCAL 08-0129053 INIST</NO>
<ET>The Financial Burden of Rotavirus Disease in Four Countries of the European Union</ET>
<AU>STANDAERT (Baudouin); HARLIN (Olof); DESSELBERGER (Ulrich); LEPAGE (Philippe)</AU>
<AF>GlaxoSmithKline Biologicals/Wavre/Belgique (1 aut.); archimed medical communication AG/Zofingen/Suisse (2 aut.); Department of Medicine, University of Cambridge/Cambridge/Royaume-Uni (3 aut.); Université libre de Bruxelles/Brussels/Belgique (1 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>The Pediatric infectious disease journal; ISSN 0891-3668; Coden PIDJEV; Etats-Unis; Da. 2008; Vol. 27; No. 1 SUP; S20-S27; Bibl. 46 ref.</SO>
<LA>Anglais</LA>
<EA>Background: Rotavirus disease is associated with a substantial financial burden. Rotavirus gastroenteritis in children under 5 results in considerable medical resource utilization and burden for parents and society. Methods: For this study a modeling approach was employed to assess the financial burden ofrotavirus disease in 4 European Union countries (Belgium, France, the Netherlands, and the United Kingdom). Both direct medical costs to health authorities and indirect costs borne by society, parents, and employers were calculated. Results: The Purchasing-Power-Parity-adjusted direct cost expressed as a cost per exposure year, per child under 5, was highest in France (∈12.26) and Belgium (∈11.80) compared with the Netherlands (∈8.13) and the United Kingdom (∈7.67). The Purchasing-Power-Parity-adjusted indirect cost was estimated to be highest in the United Kingdom (∈15.47) and the Netherlands (∈15.33) compared with France (∈11.31) and Belgium (∈10.24). The sum of the direct medical and indirect costs of rotavirus disease management was estimated to be ∈23.11 ± ∈0.70/yr per child under 5 years for all 4 countries. Conclusions: In countries where more emphasis was placed on first-line intervention (United Kingdom, the Netherlands), direct costs were lower than in countries where access to second-line healthcare support was more open (Belgium, France). The data suggest that the greater burden of financial responsibility of managing rotavirus disease in children was borne by society (higher in the United Kingdom and the Netherlands than in France and Belgium). In Europe investment in rotavirus disease management is substantial, therefore the medical and economic benefits of a vaccination strategy should be considered to reduce the medical and financial burden associated with acute rotavirus gastroenteritis.</EA>
<CC>002B05C02F</CC>
<FD>Infection; Europe; Coût; Pédiatrie; Rotavirus; Gastroentérite virale</FD>
<FG>Reoviridae; Virus; Pathologie de l'intestin; Economie santé; Pathologie de l'appareil digestif; Santé publique</FG>
<ED>Infection; Europe; Costs; Pediatrics; Rotavirus; Viral gastroenteritis</ED>
<EG>Reoviridae; Virus; Intestinal disease; Health economy; Digestive diseases; Public health</EG>
<SD>Infección; Europa; Coste; Pediatría; Rotavirus</SD>
<LO>INIST-20356.354000162722140030</LO>
<ID>08-0129053</ID>
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