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  1. Costs of medical care after first-ever stroke in the Netherlands.

    Article - En anglais

    Background and Purpose Stroke causes high morbidity and mortality.

    The aging of the population further increases the demands on healthcare costs.

    Methods We estimated the lifetime direct costs of care of first-ever stroke patients in the Netherlands in 1991 using epidemiological data from national and international studies.

    In addition, we examined the effect of an aging population on future healthcare costs.

    Results The lifetime costs for 24007 first-ever stroke patients are estimated to be 1870 million Dutch guilders (Dfl) (1 Dfl=0.53 US dollar, 1991).

    Per-person costs are higher for women (83 000 Dfl) than for men (71 000 Dfl).

    The major cost component of first-year costs is hospital costs (45%), while nursing home costs dominate lifetime costs (50%). An increase of the elderly population older than 65 years of 27% between 1991 and 2010 might lead to a parallel increase of total costs of 30% ; or 1.5% per year.

    Conclusions Long-term care rather than acute care dominates the lifetime costs for stroke patients now and in the future.

    Mots-clés Pascal : Accident cérébrovasculaire, Pays Bas, Europe, Coût, Economie santé, Analyse coût, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie

    Mots-clés Pascal anglais : Stroke, Netherlands, Europe, Costs, Health economy, Cost analysis, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Cardiovascular disease, Vascular disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0550464

    Code Inist : 002B17C. Création : 01/03/1996.