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由以政府为中心的财政分析框架估计的精神分裂症的终身负担
Rui Martins1,2, Aditi Kadakia3, G Rhys Williams3
1Health Economics, Global Market Access Solutions Sarl, St-Prex, Switzerland.
精神分裂症对美国政府造成了重大的终身财政损失,每人损失154万美元. 这种负担是由医疗保健,刑事司法和税收损失所驱动的,突显了这种混乱的经济影响.
科学领域:
- 卫生经济学 卫生经济学
- 精神病学流行病学 精神病学流行病学
- 公共卫生政策 公共卫生政策
背景情况:
- 精神分裂症给个人和社会带来了巨大的代价.
- 从政府的角度来估计精确的财政影响对于资源分配至关重要.
研究的目的:
- 从政府的角度来看,量化美国精神分裂症的终身财政后果.
- 分析政府成本,包括税收收入损失和更广泛的支出.
主要方法:
- 使用基于队列的马尔科夫链的财政分析建模框架.
- 该模型包括治疗效应,死亡风险和社会经济结果,如监禁和无家可归.
- 没有考虑终身财政后果,通过敏感性分析探索不确定性.
主要成果:
- 精神分裂症与每人终身财政损失为1,540,042美元有关.
- 医疗保健费用 (41.9%),刑事司法/无家可归费用 (39.4%) 和未获得税收收入 (17.5%) 是主要的贡献者.
- 据估计,美国每年的财政负担为1736亿美元,基于1.19%的流行率.
结论:
- 精神分裂症通过税收和转移支付对政府财政产生重大影响.
- 这些发现支持增加成本效益分析,并为精神分裂症干预措施的政策决策提供信息.
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