Costes intangibles de la dependencia alcohólica desde la perspectiva de los pacientes y sus familiares: un estudio de valoración contingente

• Jacinto Mosquera Nogueira ^[2] ; Eva Rodríguez-Míguez ^[1]
  1. [1] Universidade de Vigo

     Universidade de Vigo

     Vigo, España

     
  2. [2] Alcohol Unit of Vigo
• Localización: Adicciones: Revista de socidrogalcohol, ISSN 0214-4840, Vol. 30, Nº. 2, 2018, págs. 111-122
• Idioma: español
• DOI: 10.20882/adicciones.851
• Títulos paralelos:
  • Intangible costs of alcohol dependence from the perspective of patients and their relatives: a contingent valuation study
• Enlaces
  • Texto completo  1    2  
• Resumen
  • español

    La dependencia alcohólica produce múltiples problemas no sólo a la persona que la padece sino también a su entorno. En este estudio se utiliza la valoración contingente para valorar los efectos intangibles de la dependencia alcohólica, desde la perspectiva de las personas directamente implicadas: pacientes y familiares. Se ha entrevistado a 145 pacientes y 61 familiares. Los efectos intangibles de la dependencia alcohólica se obtienen a partir de la disponibilidad a pagar por un hipotético tratamiento para la dependencia, ante dos escenarios de éxito (50% y 100%). La disponibilidad a pagar media mensual de la población alcohólica es de 129€ y 168€, respectivamente, por los tratamientos con un 50% y un 100% de éxito. La disponibilidad de los familiares es mayor en ambos escenarios (307€ y 420€, respectivamente), lo cual podría ser explicado por su mayor percepción de los problemas familiares, laborales y de salud generados por la dependencia alcohólica. El análisis de regresión realizado muestra que la eficacia del tratamiento, la renta personal y tener un deterioro moderado de la salud influyen positivamente en la disponibilidad a pagar de los pacientes, e influye negativamente estar desanimado y deprimido. Los resultados de este estudio pueden ser aplicados a estudios de evaluación económica cuyo objetivo es medir los beneficios de programas destinados a reducir la prevalencia de la dependencia alcohólica. Los costes intangibles estimados pueden ser añadidos a los costes directos e indirectos habitualmente utilizados.

  • English

    Alcohol dependence causes multiple problems not only for the person suffering dependence but also for others. In this study, the contingent valuation method is proposed to measure the intangible effects of alcohol dependence from the perspective of the persons directly involved: the patients and their relatives. Interviews were conducted with 145 patients and 61 relatives. Intangible effects of alcohol dependence were determined based on willingness to pay for a hypothetical treatment for dependence, with different success scenarios (50% and 100%). The mean monthly willingness to pay among the alcohol-dependent population was €129 and €168, respectively, for the treatments with 50% and 100% success. The willingness to pay of relatives was greater in both scenarios (€307 and €420, respectively), which could be explained by their greater perception of the family, labour, and health problems resulting from alcohol dependence. Regression analysis showed that patients’ willingness to pay is positively related to treatment efficacy, personal income and moderate health deterioration, and negatively related to feeling discouraged and depressed. The results from this study can be applied to economic valuation studies that aim to measure the benefits of programs intended to reduce the prevalence of alcohol dependence. The intangible costs estimated can be added to the direct and indirect costs commonly used.

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