背景:双相情感障碍(BD)给社区带来了巨大的经济和社会负担。因此,本研究旨在确定2022年转诊到二级和三级单专科医院的患者双相情感障碍的经济负担.
方法:这项部分经济学评估是在2022年在伊朗南部作为横断面研究进行的,通过人口普查方法选择了916名患者。使用基于患病率和自下而上的方法来收集成本信息并计算成本,分别。直接医疗费用(DMC)数据,直接非医疗费用(DNMC),和间接成本(IC)是使用患者的医疗记录和账单以及患者或其同伴的自我报告中的信息获得的。人力资本方法也被用来计算IC。
结果:结果显示,在2022年,双相情感障碍的年度费用为每位患者4,227美元。成本的最大份额是DMC(77.66%),酒店和普通床的费用最高(55.40%)。DNMC和IC的份额分别为6.37%和15.97%,分别,该国的疾病经济负担估计也为2,799,787,266美元。
结论:一般来说,双相情感障碍治疗的成本可能会给社区带来沉重的经济负担,卫生系统,保险制度,和病人自己。考虑到旅馆和普通床的高成本,建议通过管理治疗解决方案和预防方法来减少BD患者的住院,以减轻这种疾病的经济负担。此外,为了降低成本,建议适当和公平地分配精神科医生和精神科病床,扩大家庭护理服务,并使用互联网和虚拟技术来跟踪这些患者的治疗。
BACKGROUND: Bipolar Disorder (BD) imposes considerable economic and social burdens on the community. Therefore, the present study aimed to determine the economic burden of bipolar disorder in patients referred to single-specialty psychiatric hospitals at the secondary and tertiary care level in 2022.
METHODS: This partial economic evaluation was conducted as a cross-sectional study in the south of Iran in 2022, and 916 patients were selected through the census method. The prevalence-based and bottom-up approaches were used to collect cost information and calculate the costs, respectively. The data on Direct Medical Costs (DMC), Direct Non-Medical Costs (DNMC), and Indirect costs (IC) were obtained using the information from the patients\' medical records and bills as well as the self-
reports by the patients or their companions. The human capital approach was also used to calculate IC.
RESULTS: The results showed that in 2022, the annual cost of bipolar disorder was $4,227 per patient. The largest share of the costs was that of DMC (77.66%), with hoteling and ordinary beds accounting for the highest expenses (55.40%). The shares of DNMC and IC were 6.37% and 15.97%, respectively, and the economic burden of the disease in the country was estimated at $2,799,787,266 as well.
CONCLUSIONS: In general, the costs of bipolar disorder treatment could impose a heavy economic burden on the community, the health system, the insurance system, and the patients themselves. Considering the high costs of hoteling and ordinary beds, it is suggested that hospitalization of BD patients be reduced by managing treatment solutions along with prevention methods to reduce the economic burden of this disease. Furthermore, in order to reduce the costs, proper and fair distribution of psychiatrists and psychiatric beds as well as expansion of home care services and use of the Internet and virtual technologies to follow up the treatment of these patients are recommended.