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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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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluar el impacto econ&#243;mico&#44; en t&#233;rminos de costes directos e indirectos&#44; de las enfermedades cardiovasculares y del c&#225;ncer&#44; en Canarias&#44; durante el a&#241;o 1998&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El enfoque que se ha utilizado es el m&#233;todo del coste de la enfermedad&#46; Los costes directos e indirectos se han estimado utilizando los costes de la prevalencia&#44; es decir&#44; los costes que se produjeron durante el a&#241;o 1998&#46; Los costes directos se han desglosado en costes de las hospitalizaciones&#44; consultas externas&#44; atenci&#243;n primaria y f&#225;rmacos&#46; Los indirectos se han obtenido a partir de unidades f&#237;sicas mediante su transformaci&#243;n en unidades monetarias utilizando el enfoque de la teor&#237;a del capital humano y el m&#233;todo del per&#237;odo de fricci&#243;n&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Los costes totales de las enfermedades cardiovasculares y del c&#225;ncer ascendieron a 246&#44;11 y 193&#44;72 millones de euros&#44; respectivamente&#44; utilizando el m&#233;todo del capital humano&#46; Los costes directos atribuibles a las mismas fueron de 134&#44;44 y 58&#44;04 millones de euros&#44; respectivamente&#44; representando el 55 y 30&#37; de los costes totales y el 16&#37; del gasto total sanitario en esta regi&#243;n&#46; Los costes indirectos de estas dos enfermedades ascendieron a 111&#44;68 y 135&#44;68 millones de euros&#44; respectivamente&#44; representando el 45 y 70&#37; del total&#46; Utilizando el m&#233;todo del per&#237;odo de fricci&#243;n&#44; los costes indirectos se redujeron en un 88&#37; para enfermedades cardiovasculares y en un 77&#37; en el c&#225;ncer&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A pesar de haberse adoptado un enfoque conservador&#44; dado que en este estudio no se incluyen los costes asociados con el dolor y el sufrimiento&#44; la invalidez permanente y la atenci&#243;n en el hogar por parte de los familiares&#44; el elevado coste socioecon&#243;mico anual de las enfermedades cardiovasculares y del c&#225;ncer en Canarias alcanz&#243; los 440 millones de euros&#46;</p>"
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        "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&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The cost-of-illness method was used&#46; Direct and indirect costs were estimated using prevalence costs&#44; i&#46;e&#46;&#44; the costs produced in 1998&#46; Direct costs were divided into hospitalization costs&#44; outpatient costs&#44; primary health care costs&#44; 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&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The total costs of cardiovascular disease and cancer were 246&#46;11 and 193&#46;72 million euros respectively&#46; The direct costs of the two diseases were 134&#46;44 and 58&#46;04 million euros respectively&#44; representing 55&#37; and 30&#37; of total costs and 16&#37; of total health care expenditure in this region&#46; The indirect costs of these two diseases were 111&#46;68 and 135&#46;68 million euros respectively&#44; representing 45&#37; and 70&#37; of total costs&#46; Use of the friction cost method revealed that indirect costs decreased by 88&#37; for cardiovascular disease and those for cancer decreased by 77&#37;&#46;</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&#44; permanent disability&#44; and those of at-home care provided by the family&#44; the annual socioeconomic cost of cardiovascular disease and cancer in the Canary Islands was high&#44; amounting to 440 million euros&#46;</p>"
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