Cost Comparison of Patients with Chronic Hand Eczema Covered by Statutory vs. Occupational Health Insurances in Germany

    November 2010 in “ Value in Health ”
    T. L. Diepgen, Matthias Augustin, Sandra Purwins, Jan Posthumus, Daniel Kuessner
    Image of study
    TLDR Treating chronic hand eczema costs about the same in statutory and occupational health insurances in Germany, but work-related cases may lead to higher indirect costs due to longer work absences.
    The document presents a study that compared the cost of treating chronic hand eczema (CHE) in Germany under statutory health insurance versus occupational health insurance. A total of 223 patients with CHE refractory to potent topical treatments were included from the statutory health insurance system, and 87 patients from the occupational health insurance system. The study found that the yearly direct and indirect costs per patient were €1742 and €386 for statutory health insurance, and €3309 (€2534 according to statutory health insurance tariff) and €3422 for occupational health insurance. The higher indirect costs in the occupational health system were attributed to longer work absences in patients with work-related CHE. After controlling for treatment stage and tariff differences, no cost differences were detected between the two systems. The study concluded that the cost differences could be explained by different treatment mixes, as direct costs were similar across treatment stages, and that the higher indirect costs in the occupational health system may lead to the use of more effective and costly treatment strategies for these patients.
    Discuss this study in the Community →

    Related Community Posts Join

    6 / 433 results

      community C’est terrible - at my wits end

      in Female  450 upvotes 2 years ago
      A 29-year-old woman is experiencing gradual hair thinning since age 15, suspects Androgenic Alopecia, and has tried 5% minoxidil with little success. She has purchased various hair loss treatments including minoxidil, dutasteride, finasteride, and spironolactone, but is cautious about starting them due to potential interactions with her ADHD medication.

      community 26F Thinner hair due to vitamin deficiencies?

      in Female  12 upvotes 2 years ago
      A female user with chronic anemia and vitamin deficiencies is experiencing finer, straighter hair and seeks recommendations for scalp products to improve circulation and prevent potential hair thinning. She is considering growth oils but is unsure of their effectiveness.

      community I think I’ve finally found the reason for my hair loss

      in Chat  98 upvotes 1 year ago
      The user experienced hair loss since 2019 and tried finasteride, dutasteride, RU58841, and ketoconazole shampoo without success. A scalp biopsy showed scarring and inflammation from folliculitis, indicating chronic inflammation was affecting treatment effectiveness.

      community Could Finasteride theoretically induce chronic telogen effluvium?

      in Finasteride/Dutasteride  6 upvotes 1 year ago
      A user experienced continuous hair shedding for 13 months after starting finasteride, suspecting it might cause chronic telogen effluvium, and considered switching to dutasteride or stopping medication. Other users suggested that finasteride doesn't cause hair loss, recommending dutasteride for more aggressive hair loss, while some advised against stopping medication.

      community I am actually regrowing my hairline without minoxidil or finasteride (mechanical stimulation)

       125 upvotes 7 years ago
      Regrowing hairline without the use of Minoxidil or Finasteride, and instead using mechanical stimulation such as Derma Roller, Nizoral, Zinc Pyrithione, Scalp Massage, Scalp Exercise, Fish Oil and other topical solutions. It is cautioned that there are risks associated with not using medically-prescribed treatments, but it is suggested to consider mechanical stimulation in addition to those prescribed treatments.

    Similar Research

    5 / 1000+ results