将无形成本纳入阿尔茨海默病的社会成本估计
Amir Abbas Tahami Monfared1,2, Noemi Hummel3, Agnieszka Kopiec4
1Eisai Inc., Nutley, USA.
Journal of Alzheimer's disease : JAD
|July 14, 2025
概括
阿尔茨海默病 (AD) 和轻度认知障碍 (MCI) 的总社会成本是相当大的,无形成本的贡献很大. 随着疾病的严重程度而增加的成本,突出了全面经济评估的必要性.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 阿尔茨海默病 (AD) 是一个重大的经济挑战.
- 量化AD的全部社会成本是复杂的.
- 从轻微的认知障碍 (MCI) 到严重的AD,估计疾病范围内的成本至关重要.
研究的目的:
- 为了估计美国阿尔茨海默病的总社会成本.
- 整合直接,自付,间接 (照顾者,企业) 和无形成本.
- 分析MCI和AD严重程度连续性的成本.
主要方法:
- 利用患者护理人员调查无形成本.
- 其他间接成本的员工健康和退休研究 (HRS) 数据.
- 从现有文献中综合直接成本和每个患者每月估计成本 (PPPM).
主要成果:
- 综合社会成本为MCI的4176美元PPPM和AD的7873美元PPPM.
- 治疗阿尔茨海默病的费用随严重程度的增加而增加:6634美元 (轻度),7291美元 (中度),9287美元 (严重).
- 无形成本占总社会成本的24%至32%;在AD中,间接成本高于MCI.
结论:
- 无形成本是MCI/AD的社会成本的主要组成部分,与直接成本一起.
- 随着AD严重程度的进展,社会成本显著增加.
- 了解全面的经济影响对于资源配置和政策制定至关重要.
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