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Economic impact of childhood/adolescent ADHD in a European setting: the Netherlands as a reference case.
- Source :
- European Child & Adolescent Psychiatry; Jul2014, Vol. 23 Issue 7, p587-598, 12p
- Publication Year :
- 2014
-
Abstract
- Attention-deficit/hyperactivity disorder (ADHD) is a highly prevalent psychiatric disorder in children/adolescents. This study reviews available European-based studies of ADHD-related costs and applies the findings to the Netherlands to estimate annual national costs for children/adolescents from a societal perspective. A systematic literature search was conducted for primary studies in Europe, published January 1, 1990 through April 23, 2013. Per-person cost estimates were converted to 2012 Euros and used to estimate annual national ADHD-related costs based on the Dutch 2011 census, ADHD prevalence rates, family composition, and employment rates. Seven studies met the inclusion criteria. The average total ADHD-related costs ranged from €9,860 to €14,483 per patient and annual national costs were between €1,041 and €1,529 million (M). The largest cost category was education (€648 M), representing 62 and 42 % of the low- and high-value overall national estimates, respectively. By comparison, ADHD patient healthcare costs ranged between €84 M (8 %) and €377 M (25 %), and social services costs were €4.3 M (0.3-0.4 %). While the majority of the costs were incurred by ADHD patients themselves, €161 M (11-15 %) was healthcare costs to family members that were attributable to having an ADHD child/adolescent. In addition, productivity losses of family members were €143-€339 M (14-22 %). Despite uncertainties because of the small number of studies identified and the wide range in the national cost estimates, our results suggest that ADHD imposes a significant economic burden on multiple public sectors in Europe. The limited number of European-based studies examining the economic burden of ADHD highlights the need for more research in this area. [ABSTRACT FROM AUTHOR]
- Subjects :
- ATTENTION-deficit hyperactivity disorder
ERIC (Information retrieval system)
MEDICAL databases
INFORMATION storage & retrieval systems
MEDICAL information storage & retrieval systems
PSYCHOLOGY information storage & retrieval systems
MEDLINE
META-analysis
RESEARCH funding
SYSTEMATIC reviews
COST analysis
STATISTICS
CHILDREN
ECONOMICS
Subjects
Details
- Language :
- English
- ISSN :
- 10188827
- Volume :
- 23
- Issue :
- 7
- Database :
- Complementary Index
- Journal :
- European Child & Adolescent Psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 96856389
- Full Text :
- https://doi.org/10.1007/s00787-013-0477-8