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1、OriginalpapersEurJHealthEconom2004·5:36–45BernardvandenBerg1,2,3·WernerB.F.Brouwer1,2·MarcA.Koopmanschap1,2DOI10.1007/s10198-003-0189-y1DepartmentofHealthPolicyandManagement,ErasmusMedicalCenter,Rotterdam,Publishedonline:23.January2004TheNetherlands©Springer-Ve
2、rlag20042InstituteforMedicalTechnologyAssessment,ErasmusMedicalCenter,Rotterdam,TheNetherlands3DepartmentforPreventionandHealthServicesResearch,NationalInstituteforPublicHealthandtheEnvironment,TheNetherlandsEconomicvaluationofinformalcareAnoverviewofmethodsand
3、applicationsInformalcareplaysasubstantialroleinChangesintreatmentpatternsofcarere-ventionshouldbecountedregardlessofthetotalcareprovided,especiallyforcarecipients,inparticularsubstitutionfromwhoexperiencestheoutcomesandcosts.ofpersonswithchronicandterminaldis-i
4、npatienttohomecare,mayhaveasub-Thistopreventundesirableshiftsincostseases.Togiveanindication,inTheNether-stantialeffectontheamountandnaturewithinthehealthcaresectorandbetweenlandsitwasestimatedthataround10%ofofinformalcareprovided,aswellasin-thehealthcaresector
5、andothersectorsthepopulationof16millioninhabitantscreasedpossibilitiesformonetarycom-includingtheinformaleconomy.Theso-provideinformalcare[1].Becauseinfor-pensationofinformalcaregivers.cietalperspectivealsohasimplicationsmalcareisalessvisiblepartoftotalcarePara
6、llel,economicevaluationsofhealthforthewaycostsandoutcomesshouldbeintermsofcostsandeffectsithasoftencarearemoreandmoreoftenusedtoin-measured,i.e.,theyshouldbemeasuredbeenignoredineconomicevaluationsandformdecisionmakersontherelativeeffi-insuchawaythatthefullimpa
7、ctonaffect-(subsequent)policymaking.Atpresentciencyoftheprogramsintermsofbene-edmembersiscapturedwithoutdoubletheattentionforinformalcareseemsfitsandcosts[3].Despitetheincreasingcounting.growing.Thereisincreasedinsightinthepopularityoftheseeconomicevaluations,W
8、henthesocietalperspectiveisadopt-amountofinformalcareprovided(invar-thereisalackonconsensusanduniformi-ed,informalcareneedstobeincorporat-iousdiseaseareas)andthetasksthatcar