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Direct and indirect costs of asthma in Canada, 1990
To calculate the direct and indirect costs of asthma in Canada. Cost-of-illness study. Canada. All Canadians receiving inpatient or outpatient care for asthma in 1990. Direct costs incurred by inpatient care, emergency services, physician and nursing services, ambulance use, drugs and devices, outpa...
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Published in: | Canadian Medical Association journal 1996-03, Vol.154 (6), p.821-831 |
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creator | Krahn, M. D Berka, C Langlois, P Detsky, A. S |
description | To calculate the direct and indirect costs of asthma in Canada.
Cost-of-illness study.
Canada.
All Canadians receiving inpatient or outpatient care for asthma in 1990.
Direct costs incurred by inpatient care, emergency services, physician and nursing services, ambulance use, drugs and devices, outpatient diagnostic tests, research and education. Indirect costs from productivity loss due to absence from work, inability to to perform housekeeping activities, need to care for children with asthma who were absent from school, time spent travelling and waiting for medical care, and premature death from asthma. All costs are in 1990 Canadian dollars.
Depending on assumptions, the total cost of asthma was estimated to be between $504 million and $648 million. Direct costs were $306 million. The single largest component of direct costs was the cost of drugs ($124 million). The largest component of indirect costs was illness-related disability ($76 million).
Annual costs of treating asthma are comparable to the individual cost of infectious diseases, hematological diseases, congenital defects, perinatal illnesses, home care and ambulance services. Asthma costs may increase in the future, given current morbidity and mortality trends. Further evaluation of the effectiveness and cost-effectiveness of available asthma interventions in addition to aggregate cost data are required to determine whether resource allocation for the treatment of asthma can be improved. |
format | article |
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Cost-of-illness study.
Canada.
All Canadians receiving inpatient or outpatient care for asthma in 1990.
Direct costs incurred by inpatient care, emergency services, physician and nursing services, ambulance use, drugs and devices, outpatient diagnostic tests, research and education. Indirect costs from productivity loss due to absence from work, inability to to perform housekeeping activities, need to care for children with asthma who were absent from school, time spent travelling and waiting for medical care, and premature death from asthma. All costs are in 1990 Canadian dollars.
Depending on assumptions, the total cost of asthma was estimated to be between $504 million and $648 million. Direct costs were $306 million. The single largest component of direct costs was the cost of drugs ($124 million). The largest component of indirect costs was illness-related disability ($76 million).
Annual costs of treating asthma are comparable to the individual cost of infectious diseases, hematological diseases, congenital defects, perinatal illnesses, home care and ambulance services. Asthma costs may increase in the future, given current morbidity and mortality trends. Further evaluation of the effectiveness and cost-effectiveness of available asthma interventions in addition to aggregate cost data are required to determine whether resource allocation for the treatment of asthma can be improved.</description><identifier>ISSN: 0008-4409</identifier><identifier>ISSN: 0820-3946</identifier><identifier>EISSN: 1488-2329</identifier><identifier>PMID: 8634960</identifier><identifier>CODEN: CMAJAX</identifier><language>eng</language><publisher>Canada: Can Med Assoc</publisher><subject>Absenteeism ; Activities of Daily Living ; Ambulances - economics ; Ambulatory Care - economics ; Appointments and Schedules ; Asthma ; Asthma - diagnosis ; Asthma - drug therapy ; Asthma - economics ; Asthma - mortality ; Canada - epidemiology ; Child ; Child Care - economics ; Cost of Illness ; Cost-Benefit Analysis ; Costs ; Drug Costs ; Emergency Medical Services - economics ; Health care ; Health Care Costs ; Health Care Rationing ; Hospitalization - economics ; Humans ; Nursing Services - economics ; Patient Education as Topic - economics ; Physicians - economics ; Research Support as Topic ; Travel ; Value of Life</subject><ispartof>Canadian Medical Association journal, 1996-03, Vol.154 (6), p.821-831</ispartof><rights>Copyright Canadian Medical Association Mar 15, 1996</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1487808/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1487808/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8634960$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Krahn, M. D</creatorcontrib><creatorcontrib>Berka, C</creatorcontrib><creatorcontrib>Langlois, P</creatorcontrib><creatorcontrib>Detsky, A. S</creatorcontrib><title>Direct and indirect costs of asthma in Canada, 1990</title><title>Canadian Medical Association journal</title><addtitle>CMAJ</addtitle><description>To calculate the direct and indirect costs of asthma in Canada.
Cost-of-illness study.
Canada.
All Canadians receiving inpatient or outpatient care for asthma in 1990.
Direct costs incurred by inpatient care, emergency services, physician and nursing services, ambulance use, drugs and devices, outpatient diagnostic tests, research and education. Indirect costs from productivity loss due to absence from work, inability to to perform housekeeping activities, need to care for children with asthma who were absent from school, time spent travelling and waiting for medical care, and premature death from asthma. All costs are in 1990 Canadian dollars.
Depending on assumptions, the total cost of asthma was estimated to be between $504 million and $648 million. Direct costs were $306 million. The single largest component of direct costs was the cost of drugs ($124 million). The largest component of indirect costs was illness-related disability ($76 million).
Annual costs of treating asthma are comparable to the individual cost of infectious diseases, hematological diseases, congenital defects, perinatal illnesses, home care and ambulance services. Asthma costs may increase in the future, given current morbidity and mortality trends. Further evaluation of the effectiveness and cost-effectiveness of available asthma interventions in addition to aggregate cost data are required to determine whether resource allocation for the treatment of asthma can be improved.</description><subject>Absenteeism</subject><subject>Activities of Daily Living</subject><subject>Ambulances - economics</subject><subject>Ambulatory Care - economics</subject><subject>Appointments and Schedules</subject><subject>Asthma</subject><subject>Asthma - diagnosis</subject><subject>Asthma - drug therapy</subject><subject>Asthma - economics</subject><subject>Asthma - mortality</subject><subject>Canada - epidemiology</subject><subject>Child</subject><subject>Child Care - economics</subject><subject>Cost of Illness</subject><subject>Cost-Benefit Analysis</subject><subject>Costs</subject><subject>Drug Costs</subject><subject>Emergency Medical Services - economics</subject><subject>Health care</subject><subject>Health Care Costs</subject><subject>Health Care Rationing</subject><subject>Hospitalization - economics</subject><subject>Humans</subject><subject>Nursing Services - economics</subject><subject>Patient Education as Topic - economics</subject><subject>Physicians - economics</subject><subject>Research Support as Topic</subject><subject>Travel</subject><subject>Value of Life</subject><issn>0008-4409</issn><issn>0820-3946</issn><issn>1488-2329</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><recordid>eNpdkFtLxDAQhYMo67r6E4Tig08WJk3aTl4EWa-w4Is-h2mabrv0sjatxX9vZBdvT8PMHM6c-Q7YnEvEMBKROmRzAMBQSlDH7MS5DYCfg5yxGSZCqgTmTNxWvTVDQG0eVG2-a0znBhd0RUBuKBvyi2BJLeV0FXCl4JQdFVQ7e7avC_Z6f_eyfAxXzw9Py5tVWAquhhAVioQj5KowYGSU88xmBWCGRZwST9EYk-YAOZcWVYzKkEyIjPKBQSCKBbve-W7HrLG5se3QU623fdVQ_6E7qvTfTVuVet29a48gRfgyuNwb9N3baN2gm8oZW9fU2m50OkUOMY8SL7z4J9x0Y9_657TnpZSKROpF57_jfOfYs_y5VlbrcvIktWuorr2a62maeCx1ojHi4hMSKXwn</recordid><startdate>19960315</startdate><enddate>19960315</enddate><creator>Krahn, M. D</creator><creator>Berka, C</creator><creator>Langlois, P</creator><creator>Detsky, A. S</creator><general>Can Med Assoc</general><general>CMA Impact, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>4T-</scope><scope>4U-</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19960315</creationdate><title>Direct and indirect costs of asthma in Canada, 1990</title><author>Krahn, M. D ; Berka, C ; Langlois, P ; Detsky, A. S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-h319t-89836180d9fc0c42d1bebf08b8f57a178ccc7d00d14e89589ca46aac944003883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Absenteeism</topic><topic>Activities of Daily Living</topic><topic>Ambulances - economics</topic><topic>Ambulatory Care - economics</topic><topic>Appointments and Schedules</topic><topic>Asthma</topic><topic>Asthma - diagnosis</topic><topic>Asthma - drug therapy</topic><topic>Asthma - economics</topic><topic>Asthma - mortality</topic><topic>Canada - epidemiology</topic><topic>Child</topic><topic>Child Care - economics</topic><topic>Cost of Illness</topic><topic>Cost-Benefit Analysis</topic><topic>Costs</topic><topic>Drug Costs</topic><topic>Emergency Medical Services - economics</topic><topic>Health care</topic><topic>Health Care Costs</topic><topic>Health Care Rationing</topic><topic>Hospitalization - economics</topic><topic>Humans</topic><topic>Nursing Services - economics</topic><topic>Patient Education as Topic - economics</topic><topic>Physicians - economics</topic><topic>Research Support as Topic</topic><topic>Travel</topic><topic>Value of Life</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Krahn, M. D</creatorcontrib><creatorcontrib>Berka, C</creatorcontrib><creatorcontrib>Langlois, P</creatorcontrib><creatorcontrib>Detsky, A. S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Canadian Medical Association journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Krahn, M. D</au><au>Berka, C</au><au>Langlois, P</au><au>Detsky, A. S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Direct and indirect costs of asthma in Canada, 1990</atitle><jtitle>Canadian Medical Association journal</jtitle><addtitle>CMAJ</addtitle><date>1996-03-15</date><risdate>1996</risdate><volume>154</volume><issue>6</issue><spage>821</spage><epage>831</epage><pages>821-831</pages><issn>0008-4409</issn><issn>0820-3946</issn><eissn>1488-2329</eissn><coden>CMAJAX</coden><abstract>To calculate the direct and indirect costs of asthma in Canada.
Cost-of-illness study.
Canada.
All Canadians receiving inpatient or outpatient care for asthma in 1990.
Direct costs incurred by inpatient care, emergency services, physician and nursing services, ambulance use, drugs and devices, outpatient diagnostic tests, research and education. Indirect costs from productivity loss due to absence from work, inability to to perform housekeeping activities, need to care for children with asthma who were absent from school, time spent travelling and waiting for medical care, and premature death from asthma. All costs are in 1990 Canadian dollars.
Depending on assumptions, the total cost of asthma was estimated to be between $504 million and $648 million. Direct costs were $306 million. The single largest component of direct costs was the cost of drugs ($124 million). The largest component of indirect costs was illness-related disability ($76 million).
Annual costs of treating asthma are comparable to the individual cost of infectious diseases, hematological diseases, congenital defects, perinatal illnesses, home care and ambulance services. Asthma costs may increase in the future, given current morbidity and mortality trends. Further evaluation of the effectiveness and cost-effectiveness of available asthma interventions in addition to aggregate cost data are required to determine whether resource allocation for the treatment of asthma can be improved.</abstract><cop>Canada</cop><pub>Can Med Assoc</pub><pmid>8634960</pmid><tpages>11</tpages></addata></record> |
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source | PubMed Central |
subjects | Absenteeism Activities of Daily Living Ambulances - economics Ambulatory Care - economics Appointments and Schedules Asthma Asthma - diagnosis Asthma - drug therapy Asthma - economics Asthma - mortality Canada - epidemiology Child Child Care - economics Cost of Illness Cost-Benefit Analysis Costs Drug Costs Emergency Medical Services - economics Health care Health Care Costs Health Care Rationing Hospitalization - economics Humans Nursing Services - economics Patient Education as Topic - economics Physicians - economics Research Support as Topic Travel Value of Life |
title | Direct and indirect costs of asthma in Canada, 1990 |
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