经合组织国家慢性偏头痛的经济负担:系统性审查
Alyaa Eltrafi1, Sunil Shrestha2, Ali Ahmed2,3
1School of Pharmacy, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Health economics review
|September 1, 2023
概括
慢性偏头痛 (CM) 通过直接和间接成本对经济造成重大负担. 本次审查强调,虽然研究了直接成本,但CM的间接和无形成本往往被忽视,需要进行全面的经济评估.
科学领域:
- 神经学 神经学
- 卫生经济学 卫生经济学
背景情况:
- 慢性偏头痛 (CM) 是一种流行的神经疾病,具有重大的经济后果.
- 经济影响包括直接的医疗费用,间接的生产力损失和对生活质量的无形影响.
- 现有的研究往往无法全面评估CM的所有成本组成部分.
研究的目的:
- 系统地审查有关慢性偏头痛相关疾病成本的现有文献.
- 确定和分析慢性偏头痛在经济合作与发展组织 (OECD) 国家的直接,间接和无形成本.
主要方法:
- 在MEDLINE,Embase和CINAHL数据库中进行了系统的文献搜索.
- 包括从创立到2021年10月以英语出版的研究,重点关注经合组织国家.
- 对方法和发现的提取数据被转换为英以进行比较分析.
主要成果:
- 从经合组织国家确定了13项关于CM的疾病成本研究.
- 经济负担的重大报告始终保持一致,货币估计有很大的差异.
- 直接成本 (住院治疗,药物治疗) 是主要的贡献者,而间接成本 (缺勤,出席) 和无形成本经常被低估.
结论:
- 慢性偏头痛给个人,医疗保健系统和社会带来了巨大的经济负担.
- 有效的CM管理需要考虑资源分配的直接,间接和无形成本组件.
- 需要进一步的研究来进行全面的成本评估,以告知基于证据的医疗保健政策,并改善患者的治疗结果.
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