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卒中病人的直接费用较容易测算,如住院费、医生诊疗费、家庭护理费等。间接费用却较少被重视和难以测算,但是,它却很重要,它是指病人由于不能工作而失去的那部分收入。直接费用是真正从病人收入中开支的;而间接费用则标志丧失了的可利用的分配能力。住院费用根据麻省蓝十字协会的测算,1975年每名卒中发作病人平均住院费为2,499美元,加上付医生的酬金和处置费,每名卒中病人每次住院总费用为2,879美元。1975年在麻省第一次卒中发作的生存者中这项费用为20,049美元。其中71％为医疗和护理(指开始在家的护理)费用,17％为住医院疗养和出院后在基层医疗及在家的费用,8％为与
The direct costs of stroke patients are easier to measure, such as hospital fees, doctors’ fees, and home care fees. Indirect costs are less valued and difficult to measure, but it is very important. It refers to the portion of income that patients lose because they cannot work. Direct costs are actually spent on patient income; indirect costs are indicative of lost available distribution capacity. The cost of hospitalization is based on the Massachusetts Blue Cross Association’s calculations. In 1975, the average cost of hospitalization for each stroke patient was $2,499, plus the doctor’s remuneration and disposal fee. The total cost of hospitalization for each stroke patient was $2,879. This cost was $20,049 for survivors of the first stroke outbreak in Massachusetts in 1975. Of these, 71% were for medical treatment and nursing (referring to starting care at home), 17% for in-hospital care and hospitalization, and primary care and home-based expenses after discharge, and 8% for