Attention-deficit/hyperactivity disorder: Increased costs for patients and their families

被引：130

作者：

Swensen, AR ^{[1
]}

Birnbaum, HG ^{[1
]}

Secnik, K ^{[1
]}

Marynchenko, M ^{[1
]}

Greenberg, P ^{[1
]}

Claxton, A ^{[1
]}

机构：

[1] Anal Grp Inc, Boston, MA 02199 USA

来源：

JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY | 2003年 / 42卷 / 12期

关键词：

attention-deficit/hyperactivity disorder; direct costs; indirect costs; family burden;

D O I：

10.1097/00004583-200312000-00008

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

Objective: To estimate the direct (medical and prescription drug) and indirect (work loss) costs of children treated for attention-deficit/hyperactivity disorder (ADHD) and their family members. Method: The data source was an administrative database from a national, Fortune 100 manufacturer that included all medical, pharmaceutical, and disability claims for beneficiaries (n > 100,000). The analysis involved four samples. The ADHD patient sample included individuals age 18 or younger with at least one ADHD claim during the study period (1996-1998). Resource utilization of ADHD patients was contrasted with a matched control sample of patients who did not have claims for ADHD. The ADHD and non-ADHD family samples included non-ADHD family members of ADHD patients and their matched controls. Results: The annual average expenditure (direct cost) per ADHD patient was $1,574, compared to $541 among matched controls. The annual average payment (direct plus indirect cost) per family member was $2,728 for non-ADHD family members of ADHD patients versus $1,440 for family members of matched controls. Both patient and family cost differences were significant at the 95% confidence level. Conclusions: ADHD imposes a significant financial burden regarding the cost of medical care and work loss for patients and family members.

引用

页码：1415 / 1423

页数：9

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