通过无条件量子回归来解释与肥胖和吸烟相关的医疗保健成本
Bijan Borah1, James Naessens1, Kerry Olsen2
1Mayo Clinic, Health Care Policy and Research Division, College of Medicine, Rochester, MN, USA.
Journal of health economics and outcomes research
|September 4, 2023
概括
肥胖和吸烟显著增加了医疗保健成本,特别是对于高成本的患者. 有针对性的体重管理和戒烟计划显示了大幅节省成本的潜力.
科学领域:
- 卫生经济学 卫生经济学
- 计量经济学 计量经济学
- 公共卫生 公共卫生
背景情况:
- 评估员工和家属的肥胖和吸烟相关的增加医疗保健费用.
- 专注于美国的一家大型雇主来分析成本分配.
研究的目的:
- 评估肥胖和吸烟对医疗保健成本的分配影响.
- 使用无条件定量回归 (UQR) 计量经济学框架.
- 将UQR与传统的条件定量回归 (CQR) 和通用线性建模 (GLM) 进行比较.
主要方法:
- 在成本分布分析中采用无条件定量回归 (UQR).
- 将UQR结果与条件定量回归 (CQR) 和通用线性建模 (GLM) 进行比较.
主要成果:
- 确认了肥胖,吸烟和医疗保健成本之间的强烈关联.
- 证明肥胖和吸烟的影响在上层医疗保健成本量度中显著更高.
- 强调传统的基于平均值的方法错过了这些异质影响.
结论:
- 肥胖和吸烟不成比例地影响高成本患者.
- 戒烟和体重管理计划为控制医疗保健成本提供了巨大的潜力.
- 针对高成本个体的干预措施可能会最大限度地节省成本.
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