A comprehensive assessment of the cost of multiple sclerosis in the United States

Author:

Whetten-Goldstein Kathryn1,Sloan Frank A2,Goldstein Larry B3,Kulas Elizabeth D4

Affiliation:

1. Center for Health Policy Research and Education, Box 90253, Duke University, Durham, North Carolina 27708, USA

2. Center for Health Policy Research and Education, Box 90253, Duke University, Durham, North Carolina 27708, USA, Department of Economics, Duke University, Durham, North Carolina 27708, USA, Fuqua School of Business, Duke University, Durham, North Carolina 27708, USA

3. Center for Health Policy Research and Education, Box 90253, Duke University, Durham, North Carolina 27708, USA, Department of Medicine (Neurology), Duke University, Durham, North Carolina 27708, USA, Division of Neurology, Durham Department of Veteran's Affairs Medical Center, Durham, North Carolina, 27710, USA

4. Center for Health Policy Research and Education, Box 90253, Duke University, Durham, North Carolina 27708, USA, Department of Economics, Duke University, Durham, North Carolina 27708, USA

Abstract

Comprehensive data on the costs of multiple sclerosis is sparse. We conducted a survey of 606 persons with MS who were members of the National Multiple Sclerosis Society to obtain data on their cost of personal health services, other services, equipment, and earnings. Compensation of such cost in the form of health insurance, income support, and other subsidies was measured. Survey data and data from several secondary sources was used to measure costs incurred by comparable persons without MS. Based on the 1994 data, the annual cost of MS was estimated at over $34 000 per person, translating into a conservative estimate of national annual cost of $6.8 billion, and a total lifetime cost per case of $2.2 million. Major components of cost were earnings loss and informal care. Virtually all persons with MS had health insurance, mostly Medicare/Medicaid. Health insurance covered 51 per cent of costs for services, excluding informal care. On average, compensation for earnings loss was 27 per cent. MS is very costly to the individual, health care system, and society. Much of the cost (57 per cent) is in the form of burdens other than personal health care, including earnings loss, equipment and alternations, and formal and informal care. These costs often are not calculated.

Publisher

SAGE Publications

Subject

Clinical Neurology,Neurology

Cited by 150 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3