-The to continuous treatment the expenses of illness

-The medical economic journal find the expenses of illness for multiple sclerosis in health care in between 8,500$ and 50,000$ and increase every year ( the normal cost of illness from 8,ooo$ to 11,ooo$ and newly the cost of treatment about 60,000$ annually ) -newly , the new drug amended for treatment cost for multiple sclerosis is commonly enter market domain between 25 – 6o% and higher from the abundant drug amended treatment – direct medical cost & the indirect medical cost represent 93.1% 6.9% over the total cost- direct medical costs of multiple sclerosis is range from less than 15,000$ to higher than 50,000$ annually-indirect medical costs are different from 3726$ to 19264$ (cost of outpatient visit is 3,443$ ,The prescription (DMC):it is cost is 1,834$ and The set back of inpatient hospitslization:1,546$ )-the expenses of patient with multiple sclerosis does not work increase around 3.

3 fold and days stayed in bed increase around 4.4 foldsthe expenses of illness in Egypt : – multiple sclerosis occur at age above seventeen years old , it is pervasive between 13,07-100,000 from each neurological illness , -the patient number infected by multiple sclerosis about approximately above 4o,ooo patient At ain shams university , the head of neurology department : doctor samira ashour said : patient costs from 2,000 EGP to 3,000 EGP for 3-6 month for treatment to be cure-it was unfortunately some people are unable to buy for treatment because it is cost is high around 4,000 EGP that make them unable to continuous treatment the expenses of illness in united statue (us) : -the expenses of illness with multiple sclerosis in 2008-2012 was 4 billion is nearly 9 billion per year, In US we can obtain the average price per year for multiple sclerosis. -They do much studies nearly the most known 15 studies include 2 group 8 studies who presented on direct cost calculated and the other group 7 studies who presented on total cost MS reported through these studies include direct and indirect cost from 8528 to 54,244 sick per year in direct cost about 77% ranged 64-91%of total expenses and indirect cost 23% ranged 9-36% of total cost. -in year 1990: the expenses of illness with multiple sclerosis is nearly from 9,ooo$ to 12,000$ for patient per year , the expenses of agent go on developing in addition to increasing in price -in year 2004 :the range of burden for a sick was 16,050$ , THE total cost of care and exploit of service increase not only with high and good effect but also with increasing cost range in health care ; the cost for moderate relapse intensity function and lack of ability is 30,000$ and with high relapse intensity and inability 50,000$ and with sever inability cost 100,000$.

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-in year 2012: average patient expenses of illness was 30,000$ per yearIn middle east : (multiple sclerosis exiting in 5 eastern countries)The diffusion of disease observed increasing significantly in recent decade with faster rate between female and male. Interferon was the most treatment use in the middle east and Egypt and MRI scanner lower use in the middle east they need more research about other treatment. -in worldwide (all over the world) : multiple sclerosis affect around 2.5000000 patient


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