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Table 1 Cost valuation of FMS-related components of care

From: Fibromyalgia-related costs and loss of productivity: a substantial societal burden

Components of care

Payers in the context of the province of Quebec

Monetary valuation method and sources of unitary costsa

Hospitalizations

Provincial public health insurance

Self-reported number of visits were multiplied by the mean cost of an hospitalization/ED visit obtained from Health and Social Services Centres of Sherbrooke and Rouyn-Noranda

ED visits

Physician consultations

Provincial public health insurance

Self-reported number of visits were multiplied by unitary costs of a visit retrieved from the Régie de l’assurance maladie du Québec Fee manual for general practitioners and specialists

Consultations to other health care professionals

Variableb

Self-reported number of visits and associated self-reported out-of-pocket expenses

Hospital, ED, and healthcare visits (Travelling)

Patients

Self-reported distances (kilometers) were valued using Revenu Quebec’s Rates applicable to the use of an automobile. When applicable, costs were estimated using the Quebec government’s Compendium of Tariffs of Private Transportation by Taxi

Hospital, ED, and health care visits (Parking)

Patients

Self-reported out-of-pocket expenses

Over-the-counter medications

Patients

Self-reported out-of-pocket expenses

Prescribed medications

Provincial public prescription drug insurance or private drug insurers

Self-reported medication use was valued using costs published in the Régie de l’assurance maladie du Québec Prescription drug list of medications

Natural health products

Patients

Self-reported out-of-pocket expenses

Medical aids

Generally the patientsc

Self-reported out-of-pocket expenses

Employment of domestic help due to health status impairment

Patients

Self-reported out-of-pocket expenses

FMS-related additional expenses

  1. aAll unitary prices represent 2009 values
  2. bFor the majority of health care professionals (e.g. massage therapists, acupuncturists, chiropractors, private domain physiotherapists), patients pay the bill with a possibility of reimbursement if they have a private health insurance. Some consultations (e.g. nurses, pharmacists, public domain physiotherapists) are not charged to the patients and are included in the public health care or community pharmacies services. Those costs were not considered in the analysis
  3. c With a possibility of reimbursement by the public or private insurer in some cases
  4. FMS Fibromyalgia syndrome, ED Emergency department