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  1. Demographic and epidemiological determinants of healthcare costs in Netherlands : cost of illness study.

    Article - En anglais

    Objectives 

    To determine the demands on healthcare resources caused by different types of illnesses and variation with age and sex.

    Design 

    Information on healthcare use was obtained from all 22 healthcare sectors in the Netherlands.

    Most important sectors (hospitals, nursing homes, inpatient psychiatric care, institutions for mentally disabled people) have national registries.

    Total expenditures for each sector were subdivided into 21 age groups, sex, and 34 diagnostic groups.

    Setting 

    Netherlands, 1994.

    Main outcome measures 

    Proportion of healthcare budget spent on each category of disease and cost of health care per person at various ages.

    Results 

    After the first vear of life, costs per person for children were lowest, Costs rose slowly throughout adult life and increased exponentially from age 50 onwards till the oldest age group (=95).

    The top five areas of healthcare costs were mental retardation, musculoskeletal disease (predominantly joint disease and dorsopathy), dementia, a heterogeneous group of other mental disorders, and ill defined conditions.

    Stroke, all cancers combined, and coronary heart disease ranked 7,8, and 10, respectively.

    Conclusions 

    The main determinants of healthcare use in the Netherlands are old age and disabling conditions, particularly mental disability.

    A large share of the healthcare budget is spent on long term nursing care, and this cost will inevitably increase further in an ageing population. (...)

    Mots-clés Pascal : Service santé, Epidémiologie, Analyse coût, Démographie, Critère âge, Forme clinique, Pays Bas, Europe, Diagnostic, Homme, Economie santé

    Mots-clés Pascal anglais : Health service, Epidemiology, Cost analysis, Demography, Age criterion, Clinical form, Netherlands, Europe, Diagnosis, Human, Health economy

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

    Cote : 98-0354212

    Code Inist : 002B30A01A2. Création : 27/11/1998.