The economic impact of severe asthma to low-income families

被引:48
作者
Franco, R. [1 ,4 ]
Nascimento, H. F. [2 ]
Cruz, A. A. [1 ,4 ]
Santos, A. C. [2 ,3 ,4 ]
Souza-Machado, C. [1 ]
Ponte, E. V. [1 ]
Souza-Machado, A. [1 ]
Rodrigues, L. C. [3 ,4 ]
Barreto, M. L. [2 ,4 ]
机构
[1] Univ Fed Bahia, ProAR, Programa Controle Asma & Rinite Alerg Bahia, Fac Med Bahia, BR-40060330 Salvador, BA, Brazil
[2] Univ Fed Bahia, Inst Saude Coletiva, Salvador, BA, Brazil
[3] London Sch Hyg & Trop Med, London WC1, England
[4] SCAALA Study Grp, London, England
基金
英国惠康基金;
关键词
family costs; quality of life; severe asthma; treatment; HEALTH-CARE; INSIGHTS; REALITY; COST;
D O I
10.1111/j.1398-9995.2009.01981.x
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
To estimate the direct and indirect costs of severe asthma and the economic impact of its management to low-income families in Salvador, Brazil. One hundred and ninety-seven patients with severe asthma and referred to a state-funded asthma center providing free treatment were evaluated. At registration, they were asked about family cost-events in the previous year and had a baseline assessment of lung function, symptoms and quality of life. During the subsequent year, they were reassessed prospectively. One hundred-eighty patients concluded a 12-month follow-up. Eighty-four percent were female patients, and the median family income was US$ 2955/year. Forty-seven percent of family members had lost their jobs because of asthma. Total cost of asthma management took 29% of family income. After proper treatment, asthma control scores improved by 50% and quality of life by 74%. The income of the families increased by US$ 711/year, as their members went back to work. The total cost of asthma to the families was reduced by a median US$ 789/family/year. Consequently, an annual surplus of US$ 1500/family became available. Family costs of severe asthma consumed over one-fourth of the family income of the underprivileged population in a middle-income country. Adequate management brings major economic benefit to individuals and families.
引用
收藏
页码:478 / 483
页数:6
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