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Myocardial infarction: Economic, health, and social impacts on informal caregivers

Published online by Cambridge University Press:  21 April 2020

Hugo Rabier Open the ORCID record for Hugo Rabier [Opens in a new window] ,
Hassan Serrier Open the ORCID record for Hassan Serrier [Opens in a new window] ,
Anne-Marie Schott ,
Nathan Mewton ,
Jennifer Margier ,
Marine Barral Open the ORCID record for Marine Barral [Opens in a new window] ,
Jessica Dalaudiere ,
Asma Fares ,
Gwen Grguric  and
Pascale Guerre
...Show all authors
Hugo Rabier*
Affiliation:
Hospices Civils de Lyon, Pôle de Santé Publique, Lyon, France Université de Lyon, Université Claude Bernard Lyon, Université Saint-Etienne, HESPER EA 7425, Lyon, Saint-Etienne, France
Hassan Serrier
Affiliation:
Hospices Civils de Lyon, Pôle de Santé Publique, Lyon, France Hospices Civils de Lyon, Cellule Innovation, Délégation à la Recherche Clinique et à l'Innovation, Lyon, France
Anne-Marie Schott
Affiliation:
Hospices Civils de Lyon, Pôle de Santé Publique, Lyon, France Université de Lyon, Université Claude Bernard Lyon, Université Saint-Etienne, HESPER EA 7425, Lyon, Saint-Etienne, France
Nathan Mewton
Affiliation:
Hospices Civils de Lyon, Groupement Hospitalier Est, Centre d'Investigation Clinique, INSERM 1407, Bron, France
Jennifer Margier
Affiliation:
Hospices Civils de Lyon, Pôle de Santé Publique, Lyon, France Université de Lyon, Université Claude Bernard Lyon, Université Saint-Etienne, HESPER EA 7425, Lyon, Saint-Etienne, France
Marine Barral
Affiliation:
Université de Lyon, Université Claude Bernard Lyon, Université Saint-Etienne, HESPER EA 7425, Lyon, Saint-Etienne, France
Jessica Dalaudiere
Affiliation:
Hospices Civils de Lyon, Pôle de Santé Publique, Lyon, France
Asma Fares
Affiliation:
Hospices Civils de Lyon, Pôle de Santé Publique, Lyon, France Université de Lyon, Université Claude Bernard Lyon, Université Saint-Etienne, HESPER EA 7425, Lyon, Saint-Etienne, France
Gwen Grguric
Affiliation:
Hospices Civils de Lyon, Pôle de Santé Publique, Lyon, France
Pascale Guerre
Affiliation:
Hospices Civils de Lyon, Pôle de Santé Publique, Lyon, France Hospices Civils de Lyon, Cellule Innovation, Délégation à la Recherche Clinique et à l'Innovation, Lyon, France
Christell Julien
Affiliation:
Hospices Civils de Lyon, Pôle de Santé Publique, Lyon, France
Marie Viprey
Affiliation:
Hospices Civils de Lyon, Pôle de Santé Publique, Lyon, France Université de Lyon, Université Claude Bernard Lyon, Université Saint-Etienne, HESPER EA 7425, Lyon, Saint-Etienne, France
Michel Ovize
Affiliation:
Hospices Civils de Lyon, Groupement Hospitalier Est, Centre d'Investigation Clinique, INSERM 1407, Bron, France
Norbert Nighoghossian
Affiliation:
Department of Neurology, Hospices Civils de Lyon, Université Lyon 1, Lyon, France Department of Stroke Medicine, Hospices Civils de Lyon, Université Lyon 1, Lyon, France
Antoine Duclos
Affiliation:
Hospices Civils de Lyon, Pôle de Santé Publique, Lyon, France Université de Lyon, Université Claude Bernard Lyon, Université Saint-Etienne, HESPER EA 7425, Lyon, Saint-Etienne, France
Cyrille Colin
Affiliation:
Hospices Civils de Lyon, Pôle de Santé Publique, Lyon, France Université de Lyon, Université Claude Bernard Lyon, Université Saint-Etienne, HESPER EA 7425, Lyon, Saint-Etienne, France
*
Author for correspondence: Hugo Rabier, E-mail: [email protected]
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Abstract

Objectives

The aim of the study was to measure the economic impact of informal care (IC) on caregivers assisting myocardial infarction (MI) survivors in France. Health and social impacts were also described.

Methods

Data from the prospective 2008 Health and Disabilities Households Survey (Enquête Handicap-Santé), carried out among the French general population, were used to obtain information about patients with MI and their informal caregivers. To estimate the approximate monetary value of IC, three methods were used: the proxy good method, opportunity cost method (OCM), and contingent valuation method (CVM). A multivariate analysis was performed to determine the associations of the IC duration and the existence of professional care with the health indicators stated by caregivers.

Results

The analysis included data from 147 caregivers. The mean value of IC ranged from €9,679 per year using the CVM to €11,288 per year using the OCM (p > .05). The mean willingness to pay for an additional hour of IC was €10.9 (SD = 8.3). A total of 46.2 percent of caregivers reported that IC negatively affected theirs physical condition, and 46.3 percent reported that it negatively affected their psychological health. In addition, 40.1 percent declared that caregiving activity made them anxious and 38.8 percent stated they felt alone. Associations were identified between the duration of IC and feeling the need to be replaced, feeling alone and making sacrifices (p < .05).

Conclusions

Informal caregiver burden may be recognized in health technology assessment in order not to underestimate the cost of strategies and to facilitate the comparability of cost-effectiveness outcomes between studies.

Keywords

Informal careMyocardial infarctionEconomic evaluationSocial impactHealth impact
Type
Assessment
Information
International Journal of Technology Assessment in Health Care , Volume 36 , Issue 3 , June 2020 , pp. 245 - 251
Copyright
Copyright © Cambridge University Press 2020

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