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"titulo" => "Los costes socioeconómicos de las enfermedades cardiovasculares y del cáncer en las Islas Canarias en 1998"
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2 => "Coste de la enfermedad"
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"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>"
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"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>"
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