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  1. Measuring the indirect and direct costs of acute Otitis Media.

    Article - En anglais

    Objectives 

    To test a method of measuring the related cost of acute otitis media (AOM) and to provide a preliminary calculation of the indirect and directs costs associated with a single, medically treated episode of AOM.

    Design 

    The Otitis Media Diary was used to measure indirect and direct costs associated with AOM in a prospective cohort study.

    Measured values included the parental time spent in otitis-specific child care and the number and type of medications used.

    A previously developed economic model was used to calculate the monetary'costs associated with the value of caregiver time and the total opportunity cost of AOM.

    Setting 

    The pediatric clinic of Madigan Army Medical Center, Tacoma, Wash.

    Patients 

    A cohort of 25 children (12 with AOM and 13 controls) aged 1 to 3 years.

    Main Outcome Measures 

    Caregiver time and medication use.

    Results 

    The total cost attributable to AOM in the 3-month period following diagnosis was S1330.58 (95% confidence interval, S1008.75-S1652.43), with the majority of that cost stemming from the indirect, rather than direct, costs of illness.

    After conservative estimates of unmeasured expenses, such as clinic visits and transportation, were accounted for, indirect costs, accrued primarily by parental time, accounted for nearly 90%

    (95% confidence interval, 87.1% - 92.3%. of the total 3-month cost associated with AOM and its medical treatment. (...)

    Mots-clés Pascal : Otite moyenne, Aigu, Chimiothérapie, Coût, Etude cohorte, Traitement, Economie, Enfant, Homme, ORL pathologie, Oreille moyenne pathologie

    Mots-clés Pascal anglais : Otitis media, Acute, Chemotherapy, Costs, Cohort study, Treatment, Economy, Child, Human, ENT disease, Middle ear disease

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

    Cote : 99-0108925

    Code Inist : 002B30A04B. Création : 16/11/1999.