title: [Cost of illness and health service patterns in Morbus Parkinson in Austria].
abstract: OBJECTIVE
  The objective of this study was to analyse the costs and the situation of care in patients with idiopathic Parkinson's disease (PD) in Austria. Continuously increasing healthcare costs and the fact that the prevalence of PD is expected to double in the next 25 years highlight the importance of health-economic evaluation in PD.
  
  
  METHODS
  Patient survey with 81 patients with idiopathic Parkinson's disease. A bottom-up approach has been used to calculate direct and indirect costs from a societal perspective. Cost-driving factors were identified by multiple regression analysis.
  
  
  RESULTS
  The overall costs from the perspective of society was 9280 <euro> per patient within a six-month period and consisted of 60% direct costs (5910 <euro>) and 40% indirect costs (3910 <euro>). The major part (59%) of direct costs was paid by the national healthcare. Co-payments of patients were 810 <euro> per six-months. The annual nationwide costs of PD in Austria are estimated to be approximately 320 million <euro>.
  
  
  CONCLUSIONS
  PD is an economic challenge for the Austrian healthcare system. Direct costs account for the most part and are on account of the national healthcare system. In addition, patients bear considerable costs by personal contribution.
authors.affiliation: Neurologische Klinik, Philipps-Universität Marburg, Germany.
authors.forename: Sonja
authors.initials: S
authors.lastname: von Campenhausen
authors.forename: Yaroslav
authors.initials: Y
authors.lastname: Winter
authors.forename: Julia
authors.initials: J
authors.lastname: Gasser
authors.forename: Klaus
authors.initials: K
authors.lastname: Seppi
authors.forename: Jens-P
authors.initials: JP
authors.lastname: Reese
authors.forename: Karl-P
authors.initials: KP
authors.lastname: Pfeiffer
authors.forename: Sabine
authors.initials: S
authors.lastname: Geiger-Gritsch
authors.forename: Kai
authors.initials: K
authors.lastname: Bötzel
authors.forename: Uwe
authors.initials: U
authors.lastname: Siebert
authors.forename: Wolfgang H
authors.initials: WH
authors.lastname: Oertel
authors.forename: Richard
authors.initials: R
authors.lastname: Dodel
authors.forename: Werner
authors.initials: W
authors.lastname: Poewe
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001317:Austria / Q000453:epidemiology; D017281:Cost of Illness; D003695:Delivery of Health Care / Q000191:economics* / Q000706:statistics & numerical data; D005260:Female; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010300:Parkinson Disease / Q000191:economics* / Q000453:epidemiology*