RATIONALE FOR ECONOMIC COSTS WITH SOCIAL DAMAGE AND LOSSES FROM MORBIDITY DUE TO HEPATITIS C
The actual socio-economic problem with the incidence of viral hepatitis C in the Samara region is reflected. The calculation of socio-economic costs and losses, which is borne by the society in case if one person is ill, is carried out. The estimated cost of antiviral therapy is estimated. The prognosis on the number of chronic viral hepatitis C cases is provided; the prognosis for the number of severe outcomes of the disease until 2020 is given.
Keywords: socio-economic losses, damage from hepatitis C, predictive criteria.
Highlights:
• the state of the viral hepatitis (HH) C incidences in the dynamics of materials of the Department of Rospotrebnadzor in the Samara region is studied;
• socio-economic costs are analyzed, economic losses associated with the increase in cases of morbidity, and, accordingly, the costs per patient, which can several times exceed the annual expenditures of the health care system for antiviral therapy of the main disease of VHC, are calculated;
• the assessment of direct financial expenses for treatment of a sick person is proved taking into account periodicity and volume of medical care provision;
• it is established that the multicomponent assessment of damage and losses will allow taking effective economic measures to combat VHC. For this, it is necessary to maintain clear statistical reporting for each case of the disease;
• it is necessary to develop a system of a single federal register of all patients with hepatitis B and C. A unified registry form is required, reflecting full information on the status of the patient’s disease, the dynamics of economic costs on recovery and subsequent rehabilitation, in order to improve the quality of life, and to reduce the number of relapses.
Razina S. Kuznetsova, Candidate of Biological Sciences, a research scientist, Institute of Ecology of the Volga Basin of the Russian Academy of Sciences, Togliatti; Natalia V. Lazareva, Doctor of Medical Sciences, Professor, Samara State University of Economics.