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Article: Socioeconomic impact of osteoarthritis in Hong Kong: Utilization of health and social services, and direct and indirect costs

TitleSocioeconomic impact of osteoarthritis in Hong Kong: Utilization of health and social services, and direct and indirect costs
Authors
Issue Date2003
Citation
Arthritis Care And Research, 2003, v. 49 n. 4, p. 526-534 How to Cite?
AbstractObjective. To determine the direct and indirect cost of osteoarthritis (OA) according to disease severity, and to estimate the total cost of the disease in Hong Kong. Methods. This study is a retrospective, cross-sectional, nonrandom, cohort design, with subjects stratified according to disease severity based on functional limitation and the presence or absence of joint prosthesis. Subjects were recruited from primary care, geriatric medicine, rheumatology, and orthopedic clinics. There were 219 patients in the mild disease category, 290 patients in the severe category, and 65 patients with joint replacement. A questionnaire gathered information on demographic and socioeconomic characteristics, function limitation, use of health and social services, and effect on occupation and living arrangements over the previous 12 months. Costs were calculated as direct and indirect. Results. Low education and socioeconomic class were associated with more severe disease. OA affected family or close relationships in 44%. The average cost incurred as a result of side effects of medication is similar to the average cost of medication itself. Excluding joint replacement, the direct costs ranged from Hong Kong (HK) dollar $11,690 to $40,180 per person per year and indirect costs, HK $3,300-$6,640. The direct costs are comparable to those reported in Western countries; however, the ratio of direct to indirect costs is much higher than 1, in contrast to the greater indirect versus direct costs reported in whites. The total cost expressed as a percentage of gross national product is also much lower in Hong Kong. Conclusions. The socioeconomic impact of OA in the Hong Kong population is comparable to Western countries, but the economic burden is largely placed on the government, with patients having relatively low out-of-pocket expenditures.
Persistent Identifierhttp://hdl.handle.net/10722/162714
ISSN
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWoo, Jen_US
dc.contributor.authorLau, Een_US
dc.contributor.authorLau, CSen_US
dc.contributor.authorLee, Pen_US
dc.contributor.authorZhang, Jen_US
dc.contributor.authorKwok, Ten_US
dc.contributor.authorChan, Cen_US
dc.contributor.authorChiu, Pen_US
dc.contributor.authorChan, KMen_US
dc.contributor.authorChan, Aen_US
dc.contributor.authorLam, Den_US
dc.date.accessioned2012-09-05T05:22:44Z-
dc.date.available2012-09-05T05:22:44Z-
dc.date.issued2003en_US
dc.identifier.citationArthritis Care And Research, 2003, v. 49 n. 4, p. 526-534en_US
dc.identifier.issn2151-4658en_US
dc.identifier.urihttp://hdl.handle.net/10722/162714-
dc.description.abstractObjective. To determine the direct and indirect cost of osteoarthritis (OA) according to disease severity, and to estimate the total cost of the disease in Hong Kong. Methods. This study is a retrospective, cross-sectional, nonrandom, cohort design, with subjects stratified according to disease severity based on functional limitation and the presence or absence of joint prosthesis. Subjects were recruited from primary care, geriatric medicine, rheumatology, and orthopedic clinics. There were 219 patients in the mild disease category, 290 patients in the severe category, and 65 patients with joint replacement. A questionnaire gathered information on demographic and socioeconomic characteristics, function limitation, use of health and social services, and effect on occupation and living arrangements over the previous 12 months. Costs were calculated as direct and indirect. Results. Low education and socioeconomic class were associated with more severe disease. OA affected family or close relationships in 44%. The average cost incurred as a result of side effects of medication is similar to the average cost of medication itself. Excluding joint replacement, the direct costs ranged from Hong Kong (HK) dollar $11,690 to $40,180 per person per year and indirect costs, HK $3,300-$6,640. The direct costs are comparable to those reported in Western countries; however, the ratio of direct to indirect costs is much higher than 1, in contrast to the greater indirect versus direct costs reported in whites. The total cost expressed as a percentage of gross national product is also much lower in Hong Kong. Conclusions. The socioeconomic impact of OA in the Hong Kong population is comparable to Western countries, but the economic burden is largely placed on the government, with patients having relatively low out-of-pocket expenditures.en_US
dc.languageengen_US
dc.relation.ispartofArthritis Care and Researchen_US
dc.rightsArthritis & Rheumatism. Copyright © John Wiley & Sons, Inc.-
dc.subject.meshCosts And Cost Analysisen_US
dc.subject.meshHong Kong - Epidemiologyen_US
dc.subject.meshOsteoarthritis - Economics - Epidemiologyen_US
dc.subject.meshSocial Work - Economicsen_US
dc.subject.meshSocioeconomic Factorsen_US
dc.titleSocioeconomic impact of osteoarthritis in Hong Kong: Utilization of health and social services, and direct and indirect costsen_US
dc.typeArticleen_US
dc.identifier.emailLau, CS:cslau@hku.hken_US
dc.identifier.emailChiu, P:pkychiu@hkucc.hku.hken_US
dc.identifier.authorityLau, CS=rp01348en_US
dc.identifier.authorityChiu, P=rp00379en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1002/art.11198-
dc.identifier.pmid12910559en_US
dc.identifier.scopuseid_2-s2.0-0042736064en_US
dc.identifier.hkuros84492-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0042736064&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume49en_US
dc.identifier.issue4en_US
dc.identifier.spage526en_US
dc.identifier.epage534en_US
dc.identifier.isiWOS:000184624300008-
dc.identifier.scopusauthoridWoo, J=16949717700en_US
dc.identifier.scopusauthoridLau, E=7103086055en_US
dc.identifier.scopusauthoridLau, CS=14035682100en_US
dc.identifier.scopusauthoridLee, P=37056359700en_US
dc.identifier.scopusauthoridZhang, J=7601340110en_US
dc.identifier.scopusauthoridKwok, T=7006475934en_US
dc.identifier.scopusauthoridChan, C=36984586200en_US
dc.identifier.scopusauthoridChiu, P=7202988127en_US
dc.identifier.scopusauthoridChan, KM=7406034671en_US
dc.identifier.scopusauthoridChan, A=7403167975en_US
dc.identifier.scopusauthoridLam, D=36939417700en_US

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