Objective Patients with bone metastases or lesions secondary to solid tumors or multiple myeloma often experience bone complications (skeletal-related events [SREs]-radiation to bone, pathologic fracture, surgery to bone, and spinal cord compression); however, recent data that can be used to assess the value of treatments to prevent SREs across European countries are limited. This study aimed to provide estimates of health resource utilization (HRU) and cost associated with all SRE types in Europe. HRU data were reported previously; cost data are reported herein. Methods Eligible patients from 49 centers across Austria (n = 57), the Czech Republic (n = 59), Finland (n = 60), Greece (n = 59), Portugal (n = 59), and Sweden (n = 62) had bone metastases or lesions secondary to breast, lung, or prostate cancer, or multiple myeloma, and ≥1 index SRE (a SRE preceded by a SRE-free period of ≥ 6.5 months). SRE-related costs were estimated from a payer perspective using health resource utilization data from patient charts (before and after the index SRE diagnosis). Country-specific unit costs were from 2010 and local currencies were converted to 2010 euros. Results The mean costs across countries were €7043, €5242, €11,101, and €11,509 per radiation to bone, pathologic fracture, surgery to bone, and spinal cord compression event, respectively. Purchasing power parity (PPP)-adjusted mean cost ratios were similar in most countries, with the exception of radiation to bone. Limitations The overall burden of SREs may have been under-estimated owing to home visits and evaluations outside the hospital setting not being reported here. Conclusions All SREs were associated with substantial costs. Variation in SRE-associated costs between countries was most likely driven by differences in treatment practices and unit costs.
- Klíčová slova
- Bone metastases, Cost, Europe, Skeletal-related events, Supportive care,
- MeSH
- ekonometrické modely MeSH
- fraktury spontánní ekonomika etiologie MeSH
- komprese míchy ekonomika etiologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- nádory kostí komplikace ekonomika sekundární MeSH
- senioři MeSH
- výdaje na zdravotnictví statistika a číselné údaje MeSH
- zdravotnické služby ekonomika statistika a číselné údaje MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Evropa MeSH
- MeSH
- lidé MeSH
- politika * MeSH
- postoj zdravotnického personálu * MeSH
- řízení veřejného zdraví * MeSH
- zdravotnické služby ekonomika MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- zprávy MeSH
- Geografické názvy
- Česká republika MeSH
- MeSH
- ekonomika lékařská * MeSH
- programy Healthy People * MeSH
- zdraví * MeSH
- zdravotnické služby ekonomika MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
- MeSH
- chování spotřebitelů MeSH
- dostupnost zdravotnických služeb organizace a řízení MeSH
- fertilizace in vitro MeSH
- genetické nemoci vrozené prevence a kontrola MeSH
- genetické poradenství * MeSH
- genetické testování * metody organizace a řízení MeSH
- kojenecká mortalita MeSH
- lékařská genetika výchova organizace a řízení trendy MeSH
- lidé MeSH
- naděje dožití MeSH
- novorozenec MeSH
- novorozenecký screening MeSH
- poskytování zdravotní péče ekonomika MeSH
- potrat legální MeSH
- pracovní síly MeSH
- prenatální diagnóza MeSH
- registrace MeSH
- rodokmen MeSH
- těhotenství MeSH
- výzkum ekonomika MeSH
- zdravotnické služby ekonomika MeSH
- Check Tag
- lidé MeSH
- novorozenec MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
As a result of rationalization of labour, innovations in economy and the state administration, within the framework of scientific and technical development the FRG has greatly increased its investments and great social changes were implemented. The system of health services in the FRG is considered very efficient. The services are built on the principle on the patient's completely free selection of doctors. Specialists, research and technical facilities have a high standard. In 1988 a fundamental structural reform of the health services was implemented, due to the fact that the cost of health insurance has increased since 1960 three times faster than wages, whereby 13% of the insurance money has to be met by various additional payments. A further increase is not possible and therefore the entire reform of the structure of the health services was conditioned and governed by economic reasons.
- MeSH
- řízení zdravotnictví * MeSH
- zdravotnické služby ekonomika MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- Geografické názvy
- Německo západní MeSH
Although in our country considerable financial means are spent on the health services, they do not suffice for the health services to meet their tasks under adequate conditions and to contribute to the favourable health status of the population. Under conditions of the reconstruction of the economic mechanism the authorities accept the necessity to increase the financial means for the health services, they ask, however, for concrete justification of these demands. This involves considerable efforts in conjunction with attempts to express performed work in the health services in relation to their costs. This means that the contents of different tasks have to be defined, to create a uniform classification, define the sources of information, the method of calculation and perform other essential tasks associated with the financial assessment of health activities. Certain provisions in this respect were already made. It is essential to proceed with this work or take over the results of work performed in other countries. Optimation of expenditure on the health services which ought to be the result of this work will be a valuable contribution in relation to social resources justifying the financial demands of the health services, as well as in relation to different health facilities and their staff who will get a better grasp of the medical and economic relations.
- MeSH
- ekonomika lékařská * MeSH
- lidé MeSH
- náklady a analýza nákladů MeSH
- zdravotnické služby ekonomika MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- Geografické názvy
- Československo MeSH
The paper provides information on the participation of resources in the financing of health services (nation-wide, decentralized and individual). The author informs the readers on the amount and distribution of expenses of the population for health services (indirect and direct); with their structure and ratio in relation to basic social characteristics and groups of different households. She compares Czechoslovakia and Hungary, based on household consumption data (by social groups). In the conclusion the author indicates that individual resources spent by the population on health are, and will remain in future, only supplementary.
- MeSH
- lidé MeSH
- výdaje na zdravotnictví * MeSH
- zdravotnické služby ekonomika MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- Geografické názvy
- Československo MeSH
- Maďarsko MeSH
- MeSH
- náklady a analýza nákladů MeSH
- počítačová simulace MeSH
- předpověď MeSH
- zdravotnické služby ekonomika trendy MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- Geografické názvy
- Československo MeSH
- MeSH
- zdravotnická zařízení * ekonomika zásobování a distribuce MeSH
- zdravotnické služby * ekonomika zásobování a distribuce MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- Geografické názvy
- Bulharsko MeSH
- Československo MeSH
- Německo východní MeSH
- Polsko MeSH
- SSSR MeSH
- MeSH
- akademie a ústavy * MeSH
- řízení zdravotnictví MeSH
- zdravotnické služby ekonomika MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- Geografické názvy
- Československo MeSH
