Publication:
Social costs associated with fibromyalgia in Spain

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s13561-024-00527-1.pdf(1.14 MB)
Date
2024-07-13
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Authors
Oliva-Moreno, J. ; Vilaplana Prieto, Cristina
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Publisher
BMC
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Fundamentos del Análisis Económico
DOI
https://doi.org/10.1186/s13561-024-00527-1
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info:eu-repo/semantics/article
Description
© The Author(s) 2024. This manuscript version is made available under the CC-BY 4.0 license http://creativecommons.org/licenses/by/4.0/. This document is the Published version of a Published Work that appeared in final form in Health Economics Review. To access the final edited and published work see https://doi.org/https:/doi.org/10.1186/s13561-024-00527-1
Abstract
Background: Fibromyalgia is a chronic rheumatic disease of unknown aetiology, highly disabling and mainly afecting women. The aim of our work is to estimate, on a national scale, the economic impact of this disease on the employment of patients and nonprofessional (informal) care dimension. Methods: Survey on Disabilities, Autonomy and Dependency carried out in Spain in 2020/21 was used to obtain information on disabled individuals with AD and their informal caregivers. Six estimation scenarios were defned as base case, depending on whether the maximum daily informal caregiving time was censored or not, and on the approach chosen for the valuation of informal caregiving time (contingent valuation and replacement time). Another six conservative scenarios were developed using the minimum wage for the estimation of labour losses. Results: Our estimates range from 2,443.6 (willingness to pay, censored informal care time) to 7,164.8 million euros (replacement cost, uncensored informal care time) (base year 2021). Multivariate analyses identifed that the degree of dependency of the person sufering from fbromyalgia is the main explanatory variable for both the probability of being employed and the time spent in informal care. Conservative scenarios estimates range from 1,807 to 6,528 million euros. Conclusions: The high economic impact revealed should help to position a health problem that is relatively unknown in society and for which there are signifcant research and care gaps to be flled.
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Fibromyalgia , Informal care , Labour productivity losses , Social costs
Citation
Health Economics Review (2024) 14:51
URI
http://hdl.handle.net/10201/148206
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