, Volume 9, Issue 1 Supplement, pp 29-39

Economic Impact of Stroke and Implications for Interventions

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Stroke causes an enormous health and economic burden throughout the world and nearly 5% of total healthcare costs in industrialised countries are attributable to the medical costs of its stroke victims. As countries and healthcare delivery systems try to economise without compromising quality, a growing body of data is emerging that attempts to characterise the economic burden and determinants of stroke costs as well as to define the most cost-effective treatment strategies. Factors contributing to the variation in stroke costs, both within and between countries, include patient-level factors, variations in physicians’ practice styles, the specialty of the attending physician, type of hospital, type of health insurance, and methods used in managed care. Cost-effectiveness analyses have begun to provide information about the relative value of various diagnostic and treatment strategies for patients with cerebrovascular disease.