Los costes socioeconómicos de las enfermedades cardiovasculares y del cáncer en las Islas Canarias en 1998
Socioeconomic costs of cardiovascular disease and cancer in the Canary Islands [Spain] in 1998
J. López-Bastida
, P. Serrano-Aguilar, B. Duque-González
Autor para correspondencia
jlopbas@gobiernodecanarias.org
Correspondencia: Dr. J. López-Bastida. Pérez de Rozas, 5, 4a. 38004 Santa Cruz de Tenerife. España.
Correspondencia: Dr. J. López-Bastida. Pérez de Rozas, 5, 4a. 38004 Santa Cruz de Tenerife. España.
Servicio de Evaluación y Planificación. Servicio Canario de Salud
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"apellidos" => "Serrano-Aguilar" ] 2 => array:2 [ "nombre" => "B." "apellidos" => "Duque-González" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Evaluación y Planificación. Servicio Canario de Salud" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "<span class="elsevierStyleItalic">Correspondencia</span>: Dr. J. López-Bastida. Pérez de Rozas, 5, 4<span class="elsevierStyleSup"><span class="elsevierStyleUnderline">a</span></span>. 38004 Santa Cruz de Tenerife. España." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Socioeconomic costs of cardiovascular disease and cancer in the Canary Islands [Spain] in 1998" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-07-26" "fechaAceptado" => "2002-11-21" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec268753" "palabras" => array:6 [ 0 => "Enfermedades cardiovasculares" 1 => "Cáncer" 2 => "Coste de la enfermedad" 3 => "Capital humano" 4 => "Período de fricción" 5 => "Canarias" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec268754" "palabras" => array:6 [ 0 => "Cardiovascular disease" 1 => "Cancer" 2 => "Cost-of-illness" 3 => "Human capital" 4 => "Friction cost" 5 => "Canary Islands" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluar el impacto económico, en términos de costes directos e indirectos, de las enfermedades cardiovasculares y del cáncer, en Canarias, durante el año 1998.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El enfoque que se ha utilizado es el método del coste de la enfermedad. Los costes directos e indirectos se han estimado utilizando los costes de la prevalencia, es decir, los costes que se produjeron durante el año 1998. Los costes directos se han desglosado en costes de las hospitalizaciones, consultas externas, atención primaria y fármacos. Los indirectos se han obtenido a partir de unidades físicas mediante su transformación en unidades monetarias utilizando el enfoque de la teoría del capital humano y el método del período de fricción.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Los costes totales de las enfermedades cardiovasculares y del cáncer ascendieron a 246,11 y 193,72 millones de euros, respectivamente, utilizando el método del capital humano. Los costes directos atribuibles a las mismas fueron de 134,44 y 58,04 millones de euros, respectivamente, representando el 55 y 30% de los costes totales y el 16% del gasto total sanitario en esta región. Los costes indirectos de estas dos enfermedades ascendieron a 111,68 y 135,68 millones de euros, respectivamente, representando el 45 y 70% del total. Utilizando el método del período de fricción, los costes indirectos se redujeron en un 88% para enfermedades cardiovasculares y en un 77% en el cáncer.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A pesar de haberse adoptado un enfoque conservador, dado que en este estudio no se incluyen los costes asociados con el dolor y el sufrimiento, la invalidez permanente y la atención en el hogar por parte de los familiares, el elevado coste socioeconómico anual de las enfermedades cardiovasculares y del cáncer en Canarias alcanzó los 440 millones de euros.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To evaluate the economic impact in terms of direct and indirect costs of the cardiovascular disease and cancer in the Canary Islands in 1998.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The cost-of-illness method was used. Direct and indirect costs were estimated using prevalence costs, i.e., the costs produced in 1998. Direct costs were divided into hospitalization costs, outpatient costs, primary health care costs, and drug costs while indirect costs were obtained through transformation of physical units into monetary units using the approach of human capital theory and the friction cost method.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The total costs of cardiovascular disease and cancer were 246.11 and 193.72 million euros respectively. The direct costs of the two diseases were 134.44 and 58.04 million euros respectively, representing 55% and 30% of total costs and 16% of total health care expenditure in this region. The indirect costs of these two diseases were 111.68 and 135.68 million euros respectively, representing 45% and 70% of total costs. Use of the friction cost method revealed that indirect costs decreased by 88% for cardiovascular disease and those for cancer decreased by 77%.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Although this study adopts a conservative approach by omitting costs associated with pain and suffering, permanent disability, and those of at-home care provided by the family, the annual socioeconomic cost of cardiovascular disease and cancer in the Canary Islands was high, amounting to 440 million euros.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Biblografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:35 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Defunciones Canarias 1998. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 3 | 3 | 6 |
| 2024 Octubre | 60 | 33 | 93 |
| 2024 Septiembre | 42 | 28 | 70 |
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| 2024 Marzo | 48 | 24 | 72 |
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| 2023 Septiembre | 35 | 19 | 54 |
| 2023 Agosto | 40 | 11 | 51 |
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| 2023 Marzo | 39 | 43 | 82 |
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| 2023 Enero | 31 | 22 | 53 |
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| 2022 Septiembre | 32 | 32 | 64 |
| 2022 Agosto | 41 | 61 | 102 |
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| 2022 Marzo | 25 | 42 | 67 |
| 2022 Febrero | 31 | 30 | 61 |
| 2022 Enero | 27 | 37 | 64 |
| 2021 Diciembre | 24 | 33 | 57 |
| 2021 Noviembre | 33 | 54 | 87 |
| 2021 Octubre | 23 | 36 | 59 |
| 2021 Septiembre | 28 | 45 | 73 |
| 2021 Agosto | 21 | 20 | 41 |
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| 2021 Junio | 26 | 34 | 60 |
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| 2020 Agosto | 12 | 23 | 35 |
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| 2020 Junio | 6 | 6 | 12 |
| 2020 Mayo | 12 | 12 | 24 |
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| 2020 Marzo | 8 | 7 | 15 |
| 2020 Febrero | 16 | 31 | 47 |
| 2020 Enero | 17 | 10 | 27 |
| 2019 Diciembre | 18 | 10 | 28 |
| 2019 Noviembre | 9 | 6 | 15 |
| 2019 Octubre | 22 | 5 | 27 |
| 2019 Septiembre | 7 | 7 | 14 |
| 2019 Agosto | 8 | 8 | 16 |
| 2019 Julio | 7 | 5 | 12 |
| 2019 Junio | 5 | 11 | 16 |
| 2019 Mayo | 9 | 12 | 21 |
| 2019 Abril | 11 | 5 | 16 |
| 2019 Marzo | 11 | 10 | 21 |
| 2019 Febrero | 9 | 8 | 17 |
| 2019 Enero | 6 | 4 | 10 |
| 2018 Diciembre | 4 | 13 | 17 |
| 2018 Noviembre | 10 | 12 | 22 |
| 2018 Octubre | 28 | 19 | 47 |
| 2018 Septiembre | 30 | 15 | 45 |
| 2018 Agosto | 15 | 11 | 26 |
| 2018 Julio | 25 | 12 | 37 |
| 2018 Junio | 20 | 9 | 29 |
| 2018 Mayo | 17 | 11 | 28 |
| 2018 Abril | 19 | 7 | 26 |
| 2018 Marzo | 26 | 3 | 29 |
| 2018 Febrero | 28 | 6 | 34 |
| 2018 Enero | 24 | 5 | 29 |
| 2017 Diciembre | 14 | 9 | 23 |
| 2017 Noviembre | 17 | 10 | 27 |
| 2017 Octubre | 5 | 8 | 13 |
| 2017 Septiembre | 13 | 16 | 29 |
| 2017 Agosto | 14 | 6 | 20 |
| 2017 Julio | 13 | 10 | 23 |
| 2017 Junio | 22 | 10 | 32 |
| 2017 Mayo | 15 | 3 | 18 |
| 2017 Abril | 24 | 7 | 31 |
| 2017 Marzo | 18 | 7 | 25 |
| 2017 Febrero | 4 | 0 | 4 |
| 2017 Enero | 7 | 5 | 12 |
| 2016 Diciembre | 19 | 6 | 25 |
| 2016 Noviembre | 18 | 8 | 26 |
| 2016 Octubre | 16 | 10 | 26 |
| 2016 Septiembre | 19 | 5 | 24 |
| 2016 Agosto | 27 | 6 | 33 |
| 2016 Julio | 10 | 3 | 13 |
| 2016 Febrero | 1 | 0 | 1 |
| 2015 Diciembre | 1 | 0 | 1 |
| 2015 Octubre | 1 | 0 | 1 |
| 2015 Julio | 1 | 0 | 1 |
| 2015 Abril | 2 | 0 | 2 |
| 2015 Marzo | 1 | 0 | 1 |
| 2015 Enero | 2 | 0 | 2 |
| 2014 Diciembre | 1 | 0 | 1 |
| 2014 Noviembre | 4 | 0 | 4 |
| 2014 Octubre | 2 | 0 | 2 |
| 2014 Septiembre | 5 | 0 | 5 |
| 2014 Agosto | 9 | 0 | 9 |
| 2014 Julio | 8 | 0 | 8 |
| 2014 Junio | 7 | 0 | 7 |
| 2014 Mayo | 7 | 2 | 9 |
| 2014 Abril | 6 | 0 | 6 |
| 2014 Marzo | 5 | 2 | 7 |
| 2014 Febrero | 8 | 2 | 10 |
| 2014 Enero | 10 | 1 | 11 |
| 2013 Diciembre | 12 | 3 | 15 |
| 2013 Noviembre | 19 | 3 | 22 |
| 2013 Octubre | 25 | 2 | 27 |
| 2013 Septiembre | 14 | 4 | 18 |
| 2013 Agosto | 39 | 4 | 43 |
| 2013 Julio | 17 | 2 | 19 |
| 2003 Abril | 718 | 0 | 718 |
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