© Borgis - New Medicine 3/2013, s. 88-90
*Julianna Rozália Sallai, Ormos Gábor
Financial Status Of Patients With Chronic Musculoskeletal Diseases And Limited Working Ability
National Institute of Rheumatology and Physiotherapy, Budapest, Hungary
Director in Chief: prof. Gyula Poór, MD, PhD, DSc
Aim. The aim of the study was to assess the financial status and perspectives of patients with chronic musculoskeletal diseases and limited working ability.
Patients. 200 inpatients under rheumatology rehabilitation in the National Institute of Rheumatology and Physiotherapy, Budapest, Hungary were interviewed and assessed; 150 females (mean age: 52 years) and 50 males (mean age: 49 years); 95% of them suffered from rheumatoid arthritis, 5% from degenerative joint diseases.
Methods. Personal interviews were made with the patients about their financial status, and the per capita income in the family was calculated
Results. Of the interviewed patients, 55% had a regular employment income and 7% had both an employment income and a old age pension). 21% received a disability pension and 14% a retirement pension only. 17% survived on social benefits.
The disability pension was less than 57.000 HUF/month for 14% of the subjects, and the per capita family income was less than 28.500HUF/month in 9%. 76% had a per capita family income between 28.500HUF/month and for 15% this was over 100.000HUF/month.
Conclusions. The income of disabled persons is very low in Hungary. In spite of this – thanks to the National Health Insurance – the disabled can take part in full medical and social rehabilitation.
The European Committee accepted the following objectives: promotion of full employment; universal access to medical treatment and rehabilitation access to resources; universal access to social services; the prevention of social isolation; assistance for the most disabled and aided mobility for all. If these goals were to be fully implemented, many of the most socially isolated and physically handicapped people with limited work capacity might be able to find employment (1). With these goals in mind in Hungary, we have carried out a preliminary survey of the economic and social burdens of people with limited work capability. The aim of this study was to elucidate the financial situation and the aims and goals of 200 patients with chronic musculoskeletal disease, focussing especially on rheumatoid arthritis. The authors know of no such previous study.
The subjects of our investigation were 200 in-patients of the rheumatic rehabilitation service who had been presented to psychosocial English services of the National Institute of Rheumatology and Physiotherapy. The period of the study was from 1 July 2007 until 31 July 2008. There were 150 females and 50 males among the interviewed patients. The average age of women was 52 (30-70) and that of men was 49 (33-69). A summary of the age distribution is seen in table 1.
Table 1. The age distribution of the examined patients.
|Age groups||Women: 75%||Men: 25%||Rate|
|30-40 years||66 persons||18 persons||42%|
|41-50 years||40 persons||20 persons||30%|
|51-60 years||20 persons||8 persons||14%|
|61-70 years||24 persons||4 persons||14%|
Regarding their social status, it was considered important to know if a patient lived in the capital city, Budapest or in a more rural setting. 96 persons lived in rural villages, 54 in towns and 50 in the capital city.
The great majority of these patients suffered from rheumatoid arthritis (95% of the patients), while 5% were being treated for other degenerative joint diseases, 80% of these subjects were suffering from clinical depression at the time of the study.
All patients in the study were interviewed regarding their current financial situation and their hopes and goals for the future. Regarding finances, only the data provided by the patients themselves was considered. The per capita income in a family was calculated according to this information.
The monetary income of this group of patients with limited working abilities is summarised in table 2. It is tabulated according to age and sex.
Table 2. The activity of people with diminished working ability according to age groups.
|Age group||Number and percentage of persons with active income||Number and percentage of persons with inactive income (the disabled)||Number and percentage of persons e receiving social assistance||Number and percentage of persons with pension on own right|
|30-40 years||38 (19%)||12 (6%)||16 (8%)||4 (2%)||12 (6%)||2 (1%)|| |
|41-50 years||20 (10%)||10 (5%)||10 (5%)||6 (3%)||10 (5%)||4 (2%)|
|51-60 years||12 (6%)||4 (2%)||4 (2%)||2 (1%)||4 (2%)||2 (1%)|
|30-60 years||35,00%||13%||15%||6%||13%||4%||No persons with pension on own right btw. 30-60 years|
|61-70 years||6 (3%)||8 (4%)||–||–||–||–||24 (12%)||4 (2%)|
| ||Together: 7%|| || || || || || |
It can be seen from this table that 55% of the patients interviewed were younger than the retirement age and had employment income. A further 7% had a retirement pension in addition to income from employment.
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